| NPI | 1841794724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL POBI Executive Director 615-499-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 100000016879) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: TN 100000016879) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TN 100000016879) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |