| NPI | 1750111977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAROL COPELAND Managing Member 901-542-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |