| NPI | 1144648452 |
|---|---|
| Doing Business As | TAMMY LYNN CENTER FOR DEVELOPMENTAL DISABILITIES |
| Entity Type | Organization |
| Authorized Contact | HOLLY RICHARD President / CEO 919-832-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC ICF/DD MHL-092-011) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-092-011) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-23 |