NPI | 1972973097 |
---|---|
Doing Business As | 1806 PENNINGTON |
Entity Type | Organization |
Authorized Contact | WAYNE ADDISON COO 901-692-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TN L000000012141) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |