Organization Active NPI

At&B Residential Youth Group Services

  • Mental Illness Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1841429933
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AT&B RESIDENTIAL YOUTH GROUP SERVICES
Practice address
215 W. Ruffin St.
Burlington, NC 27216-2274
Phone
(336) 228-8837
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AT&B RESIDENTIAL YOUTH GROUP SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mrs. Tammie Delaine Norman
Title
Owner
Phone
(336) 684-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

215 W. Ruffin St.
Burlington, NC 27216-2274

Mailing address

P.O. Box 2274
215 W. Ruffin St.
Burlington, NC 27216-2274
Phone (336) 684-5079

National Provider Directory

National Provider Directory
Part of
Atb Residential Youth Group Services

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1841429933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2274",
            "address_2": "215 W. RUFFIN ST.",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162274",
            "telephone_number": "336-684-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W. RUFFIN ST.",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162274",
            "telephone_number": "336-228-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT&B RESIDENTIAL YOUTH GROUP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AT&B RESIDENTIAL YOUTH GROUP SERVICES",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-684-5079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.