| NPI | 1962910414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKK LEA COGDILL Director Of Finance 615-254-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 15391) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 15391) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |