| NPI | 1992064075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD IRELAND CFO 615-377-9140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |