| NPI | 1942348750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEA KRAHENBILL Executive Director 615-794-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000009430) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000009433) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000009676) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000009431) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-12-06 |