Boys to Gentlemen

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL 032-290 Issued in NC

Legal business name

BOYS TO GENTLEMEN

Practice address

202 Clayton Rd
Durham, NC 27703-3508

Phone

(919) 957-1191

Fax

(919) 598-5166

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lorrain Wells Meadows

Title

Owner

Phone

(919) 598-5355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1811065865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CLAYTON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033508",
            "telephone_number": "919-957-1191",
            "fax_number": "919-598-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CLAYTON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033508",
            "telephone_number": "919-957-1191",
            "fax_number": "919-598-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS TO GENTLEMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "LORRAIN",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-598-5355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 032-290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Boyle
• Reginald D Boynton Jr.
• Elizabeth Boyrer
• Boys to Gentlemen
• Boys to Gentlemen
• David P. Boyte, M.D.
• Catherine Harvey Brabender, MS, RD, LDN
• Toya Monet Brabham, RN
• Adriana Roxana Bracho
• Sonali Jagdish Bracken, M.D.,PH.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.