| NPI | 1912435892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVETA L BURNS Owner 615-396-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2020-07-10 |