| NPI | 1972811834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSE AMADI Chief Executive Officer 615-399-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN PSS0000000040) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |