| NPI | 1922395748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI TENCH Business Office Director 615-250-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 63014001) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |