Organization Active NPI

R. J. Blackley Alcohol and Drug Abuse Treatment Center

  • Community/Behavioral Health Agency
  • Butner, NC
National Provider Identifier
1518566751
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
R. J. BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Practice address
100 W H St
Butner, NC 27509-1605
Phone
(919) 575-7928
Fax
(919) 575-7260
NPI assigned
Oct 20, 2020
Organization subpart
Yes
Parent organization
R. J. BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Karen Burkes
Title
Division Director
Phone
(919) 855-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 W H St
Butner, NC 27509-1605

Mailing address

100 W H St
Butner, NC 27509-1605
Phone (919) 575-7928

Other names 1

  • R.J. Blackley ADATC Outpatient Services Doing business as

National Provider Directory

National Provider Directory
Part of
R J Blackley Alcohol and Drug Abuse Treatment Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1518566751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W H ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091605",
            "telephone_number": "919-575-7928",
            "fax_number": "919-575-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W H ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091605",
            "telephone_number": "919-575-7928",
            "fax_number": "919-575-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. J. BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R. J. BLACKLEY ALCOHOL AND DRUG ABUSE TREATMENT CENTER",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "BURKES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "919-855-4700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.J. Blackley ADATC Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.