| NPI | 1801256755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAYNE HOLT Co Owner 615-578-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |