MURRAY ADOLESCENT TRAINING & TXMENT ACADEMY (NPI# 1528188802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528188802 |
| Entity Type | Organization |
| Organization Name | MURRAY ADOLESCENT TRAINING & TXMENT ACADEMY |
| Other Organization Name | PROMISE KEEPERS GROUP HOME |
| Practice Address |
2012 Commonwealth Ave Charlotte NC 28205-5022 |
| Practice Telephone | 7043724915 |
| Practice Fax Number | 7043724917 |
| Mailing Telephone | 7043724915 |
| Mailing Fax Number | 7043724917 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CYNTHIA S MURRAY (VICE PRESIDENT) |
| Authorized Official Telephone | 7043724915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 060-394 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603431 | 05 |
| Other Name | Type Code |
|---|---|
| Promise Keepers Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068760 | Murray Adolescent Training & Txment Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-04-03 |
| Street Address |
2012 COMMONWEALTH AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598998734 | Murray Adolescent Training & Treatment Academy, Inc | In Home Supportive Care | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2009-09-03 |
| 1023139474 | Murray Adolescent Training & Tx Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-04-03 |
| 1932220381 | Murray Adolescent Training & Tx Academy Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-04-03 |
| 1316068760 | Murray Adolescent Training & Txment Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-04-03 |
| 1225159676 | Murray Adolescent Training &tx Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2012 Commonwealth Ave, Charlotte, NC 28205-5022 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1740720036 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5419 Twin Ln, Charlotte, NC 28269-4635 | 2017-03-06 |
| 1336385699 | 1st Choice Professional Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10532 Green Hedge Ave, Charlotte, NC 28269-1541 | 2008-12-16 |
| 1578735866 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8134 Strawberry Point Dr, Charlotte, NC 28215-8487 | 2008-03-27 |
| 1194901157 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2139 Jennie Linn Dr, Charlotte, NC 28215-2925 | 2008-01-21 |
| 1558547513 | Echelon Consulting Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4724 Carriage Drive Cir, Charlotte, NC 28205-4922 | 2008-01-21 |
| 1972798841 | Walkers Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 5719 Kinglet Ln, Charlotte, NC 28269-7113 | 2007-09-13 |
| 1760506919 | Echelon Consulting Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4508 Carriage Drive Cir, Charlotte, NC 28205 | 2007-03-16 |
| 1316083769 | Golden Rule of Charlotte, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6627 Love Ridge Ln, Charlotte, NC 28213-4914 | 2007-01-30 |
| Find all providers in CHARLOTTE | ||||
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| 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.