Community Care Adolescent Adult Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY CARE ADOLESCENT ADULT SERVICES, LLC

Practice address

1201 Peachtree St NE
400 Colony Square, Ste 400
Atlanta, GA 30361-3503

Phone

(919) 345-0261

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Darius Smith

Title

Ceo/Exec. Director

Phone

(919) 345-0261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1609136209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST NE",
            "address_2": "400 COLONY SQUARE, STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613503",
            "telephone_number": "919-345-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST NE",
            "address_2": "400 COLONY SQUARE, STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613503",
            "telephone_number": "919-345-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE ADOLESCENT ADULT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "CEO/EXEC. DIRECTOR",
        "authorized_official_telephone_number": "919-345-0261",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.