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NPI 1013390590

NPI 1013390590 : CARTER TREATMENT CENTER : ALPHARETTA, GA

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General NPI Number Information
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    NPI Number           |    1013390590
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARTER TREATMENT CENTER 
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Dates
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    Enumeration Date     |    07/02/2015
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    10425 OLD ALABAMA ROAD CONNECTOR STE 101 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30022-1120
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    Country              |    US
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    Telephone            |    678-771-8468
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    Fax                  |    678-845-8415
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Provider Business Mailing Address
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    Address Line         |    380 DAHLONEGA ST STE 100 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30040-8219
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    Country              |    US
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    Telephone            |    678-771-8468
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    Fax                  |    678-845-8415
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Authorized Official
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    Title or Position    |    COMPLIANCE AND ADMINISTRATIVE SPEC
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    Name                 |     MEGAN  DAMON 
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    Credential           |    LMSW, CAADC
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    Telephone            |    678-771-8468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    GA
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