Organization
TNT TRANSFORMATION HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BRADSHER (DIRECTOR)
(743) 208-3119
Entity
Organization
Contact information
Practice address
305 CLAPP ST, GRAHAM, NC 27253-3111
(743) 208-3119
Mailing address
813 WILLIAMS ST, BURLINGTON, NC 27217-1652
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
09/05/2023
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