Organization
AT&B RESIDENTIAL ADULT GROUP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE NORMAN (CHIEF OPERATING OFFICER)
(336) 684-5079
Entity
Organization
Contact information
Practice address
215 W RUFFIN ST, BURLINGTON, NC 27217-2643
(336) 222-8837
Mailing address
PO BOX 2274, BURLINGTON, NC 27216-2274
(336) 222-8837
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-001-175
NC
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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