Provider Demographics
NPI:1245567205
Name:T & R TREATMENT SERVICES, INC
Entity Type:Organization
Organization Name:T & R TREATMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMETKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-697-1156
Mailing Address - Street 1:2310 S MIAMI BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5798
Mailing Address - Country:US
Mailing Address - Phone:919-697-1156
Mailing Address - Fax:
Practice Address - Street 1:2415 PRESIDENTIAL DR
Practice Address - Street 2:BLDG 204 SUITE 118
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8026
Practice Address - Country:US
Practice Address - Phone:919-544-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ULTIMATE TURN@ROUND SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 0-32-509261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health