NPI | 1750175857 |
---|---|
Entity Type | Organization |
Authorized Contact | J'TERICA SMITH CEO 901-591-5017 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2025-04-05 |
Last Update Date | 2025-07-22 |