At&B Residential Adult Group Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-001-175 Issued in NC

Legal business name

AT&B RESIDENTIAL ADULT GROUP SERVICES

Practice address

215 W Ruffin St
Burlington, NC 27217-2643

Phone

(336) 222-8837

NPI assigned

Mar 8, 2010

Last updated

Mar 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammie Norman

Title

Chief Operating Officer

Phone

(336) 684-5079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1841513652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2274",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162274",
            "telephone_number": "336-222-8837"
        },
        {
            "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": "272172643",
            "telephone_number": "336-222-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT&B RESIDENTIAL ADULT GROUP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-684-5079"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-001-175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Burlington, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.