Organization Active NPI

Tri-Wil, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Woodstock, AL
National Provider Identifier
1689787665
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
TRI-WIL, INC.
Practice address
65 Enterprise Loop
Woodstock, AL 35188-4040
Phone
(205) 938-7855
Fax
(205) 938-3647
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. James Brown
Title
Executive Director
Phone
(205) 938-7855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X AL Primary
Psychiatric Residential Treatment Facility 323P00000X AL

Addresses

Primary practice location

65 Enterprise Loop
Woodstock, AL 35188-4040

Mailing address

PO Box 77
Green Pond, AL 35074-0077
Phone (205) 938-7855

National Provider Directory

National Provider Directory

Locations

65 Enterprise Loop
Woodstock, AL 35188
Phone (205) 938-7855

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1689787665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "GREEN POND",
            "state": "AL",
            "postal_code": "350740077",
            "telephone_number": "205-938-7855",
            "fax_number": "205-938-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ENTERPRISE LOOP",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351884040",
            "telephone_number": "205-938-7855",
            "fax_number": "205-938-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-WIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-938-7855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.