Carolina Adolescent Center, Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

023448 Issued in NC

Legal business name

CAROLINA ADOLESCENT CENTER, INC

Practice address

3711 University Dr Ste C
Durham, NC 27707-2654

Phone

(919) 493-4100

Fax

(866) 571-8315

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dameon Aureice McCain

Title

Chief Executive Officer

Phone

(919) 493-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1841454543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 UNIVERSITY DR STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072654",
            "telephone_number": "919-493-4100",
            "fax_number": "866-571-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 UNIVERSITY DR STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072654",
            "telephone_number": "919-493-4100",
            "fax_number": "866-571-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ADOLESCENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_middle_name": "AUREICE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-493-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "023448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen E. Carney, PHD
• John Michael Carney
• Jonathan Matthew Carnino, MD
• Katherine Valencia Caro, PA-C
• Leslie Carolan, LPC
• Carolina Alternative Services Inc.
• Carolina Assisted Living, LLC (Homeplace of Durham)
• Carolina Behavioral Care
• Carolina Behavioral Care
• Carolina Behavioral Care

• Adolescent and Children Mental Health Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.