PROMISE KEEPERS GROUP HOME
NPI 1528188802
Residential Treatment Facility, Emotionally Disturbed Children in Charlotte, NC

Q: What is Murray Adolescent Training & Txment Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since March 30, 2007

2012 COMMONWEALTH AVE, CHARLOTTE, NC 28205(704) 372-4915(704) 372-4917 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Promise Keepers Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMISE KEEPERS GROUP HOME (NPI 1528188802) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Charlotte, North Carolina and active in the NPI registry since March 2007. The organization lists Cynthia S Murray, Vice President, as its authorized official.

NPPES Registry Identity

NPI1528188802

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameMURRAY ADOLESCENT TRAINING & TXMENT ACADEMY

Location Address2012 COMMONWEALTH AVECharlotte, NC 28205-5022

Mailing Address2012 Commonwealth AveCharlotte, NC 28205-5022 · (704) 372-4915 · Fax (704) 372-4917

Phone(704) 372-4915

Fax(704) 372-4917

Organization SubpartNo

Authorized OfficialCynthia S MurrayVice President · (704) 372-4915

Enumeration DateMarch 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1528188802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in NC · 060-394

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

2012 COMMONWEALTH AVE, Charlotte, NC 28205

Open in Google Maps ↗

Other Names 1

Other NamePromise Keepers Group Home

Other Identifiers 1

Medicaid6603431NC

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MURRAY ADOLESCENT TRAINING & TX ACADEMY, INC.

Residential Treatment Facility, Emotionally Disturbed Children