| NPI | 1861139370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BROOKS CEO 901-281-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |