| NPI | 1770161226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE VATOCO DILWORTH Chief Executive Officer 901-453-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |