Lifecycles of Alamance/Caswell Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-001-144 Issued in NC

Legal business name

LIFECYCLES OF ALAMANCE/CASWELL INC.

Practice address

1865 N NC Highway 62
Burlington, NC 27217-8327

Phone

(336) 222-9896

Fax

(336) 229-2385

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tamera B. Wilson

Title

Owner/Administrator

Phone

(336) 213-0975

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1144402926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 FERNWAY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178850",
            "telephone_number": "336-213-0975",
            "fax_number": "336-229-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N NC HIGHWAY 62",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178327",
            "telephone_number": "336-222-9896",
            "fax_number": "336-229-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECYCLES OF ALAMANCE/CASWELL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-213-0975",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-001-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.