| NPI | 1972485472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA SELBY WAITES Steering Committee Chair 931-200-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |