NPI | 1114077856 |
---|---|
Doing Business As | TAMMY LYNN CENTER FOR DEVELOPMENTAL DISABLITIES |
Entity Type | Organization |
Authorized Contact | HOLLY RICHARD CEO 919-832-3909 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-092-011) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2014-04-23 |