| NPI | 1811012149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI ANGIE OPARAH FRANCIS CEO Aministrator 615-365-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L 3(20)4M4-086-3492) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L 3(20)4M4-086-3492) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |