NPI | 1801050315 |
---|---|
Doing Business As | STONES RIVER CENTER |
Entity Type | Organization |
Authorized Contact | LISA A IZZI Administrator 615-895-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TN L323-117-4121) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L323-117-4121) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2008-07-24 |