OrganizationActive
Athens Place
NPI 1184016636 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC
Provider details
- NPI number
- 1184016636
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Php of Nc, Inc
- Organization subpart
- Yes
- Authorized official
- Justine Wiggins, Ceo(919) 220-0021
- License
- MHL032597 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL032597 (NC)
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E Club Blvd
Durham, NC 27704-3404
Phone: (919) 220-0021
Fax: (919) 220-4555
Street-level locationGet directions
Mailing address
1921 Athens Ave
Durham, NC 27707-4315
Registry dates
- Enumerated
- 2015-02-20
- Last updated
- 2015-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.