The Dollin Group, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL-041-071 Issued in NC

Legal business name

THE DOLLIN GROUP, LLC

Practice address

2300 Soabar St
Box 16205
Greensboro, NC 27406-3650

Phone

(336) 681-0655

Fax

(336) 272-2387

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Willie F. Pickens

Title

Ceo

Phone

(336) 681-0655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1992246680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 GLENHAVEN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062317",
            "telephone_number": "336-681-0655",
            "fax_number": "336-272-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOABAR ST",
            "address_2": "BOX 16205",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063650",
            "telephone_number": "336-681-0655",
            "fax_number": "336-272-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOLLIN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-681-0655"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-041-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.