| NPI | 1952505893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A JONES Owner 731-664-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN LSW0000000380) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-06-27 |