Thank You Lord(Tyl)
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rocky Mount, NC. Organization (NPI-2).
Details
- NPI
- 1699080705
- Entity type
- Organization (NPI-2)
- Legal business name
- Thank You Lord(Tyl)
- Organization subpart
- No
- Enumeration date
- Aug 12, 2010
- Last updated
- Aug 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL064-107 | NC | Yes |
Practice location
2612 Winstead RdRocky Mount, NC 27804-4127
Phone 252-200-4218 · Fax 252-200-4418
Mailing address
2612 Winstead RdRocky Mount, NC 27804-4127
Phone 252-200-4218 · Fax 252-200-4418
Authorized official
Darrell Frank Johnson
Owner
2522004218
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All 9 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Rocky Mount · All 1,760 providers in Rocky Mount
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