Provider Demographics
NPI:1528667763
Name:JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Entity type:Organization
Organization Name:JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-855-4700
Mailing Address - Street 1:201 TABERNACLE RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2526
Mailing Address - Country:US
Mailing Address - Phone:828-257-6200
Mailing Address - Fax:828-257-6300
Practice Address - Street 1:201 TABERNACLE RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2526
Practice Address - Country:US
Practice Address - Phone:828-257-6200
Practice Address - Fax:828-257-6300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-20
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health