| NPI | 1780732545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHRISTOPHER JACKSON Managing Member 615-560-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN I 237-106-9373) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-08-14 |