| NPI | 1932699402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA RENEE MARTIN Director/Owner 423-320-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN CBL-113201) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 251S00000X Community/Behavioral Health | |
| 374U00000X Home Health Aide | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2026-04-11 |