| NPI | 1861687899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD JEROME JORDAN CEO 901-387-5840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN L237M30176449) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |