JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER (NPI# 1992851331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992851331 |
Entity Type | Organization |
Organization Name | JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER |
Other Organization Name | JFK ADATC |
Practice Address |
201 Tabernacle Road Black Mountain NC 28711 |
Mailing Address |
201 Tabernacle Road Black Mountain NC 28711-2526 |
Practice Telephone | 8286693413 |
Practice Fax Number | 8286693471 |
Mailing Telephone | 8286693413 |
Mailing Fax Number | 8286693471 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2019-05-07 |
Authorized Official Name | MS. HELEN WOLSTENHOLME (DIVISION DIRECTOR - DSOHF) |
Authorized Official Telephone | 9198554700 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3404023 | 05 |
Other Name | Type Code |
---|---|
JFK ADATC | Other Name - Individual/Organization |
Street Address |
201 TABERNACLE ROAD |
City | BLACK MOUNTAIN |
State | NC |
Zip Code | 28711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
1063507507 | James Thomas Lane | Physical Therapist | 49 Vance Ave., Black Mountain, NC 28711 | 2006-10-03 |
Find all providers in zip 28711 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406051 | Triangle Springs, LLC | Psychiatric Hospital | 10901 World Trade Blvd., Raleigh, NC 27617-4203 | 2017-09-20 |
1730623182 | Ralph Newman | Psychiatric Hospital | 1019 Bookmark Trl, Durham, NC 27703-9871 | 2016-12-05 |
1962887281 | North Carolina Agricultural and Technical State University | Psychiatric Hospital | 913 Bluford St., Greensboro, NC 27401 | 2015-07-28 |
1881085264 | Fayetteville Va Medical Cener | Psychiatric Hospital | 1111 Shell Dr, Apt 60, Spring Lake, NC 28390-2050 | 2015-02-06 |
1992044143 | Holly Hill Hospital Mobile Crisis | Psychiatric Hospital | 943 W Andrews Ave Ste K, Henderson, NC 27536-2587 | 2013-02-07 |
1487999652 | Unc-chapel Hill | Psychiatric Hospital | Unc Ch, 101 Manning Dr. Cb7167, Chapel Hill, NC 27599-0001 | 2012-11-29 |
1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
1295938652 | Linda Ruth Derbes | Psychiatric Hospital | 4919 S Miami Blvd, Durham, NC 27703-8435 | 2007-06-06 |
1891889465 | Sally Louise Walker | Psychiatric Hospital | 1003 12 Street, Butner, NC 27509 | 2006-10-03 |
Find all providers with the same taxonomy |
City | BLACK MOUNTAIN |
Zip Code | 28711 |
Please comment or provide details below to improve the information on JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.