| NPI | 1780935312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA J. TISDELL Vice President 901-598-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2012-09-22 |