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General NPI Number Information
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NPI Number | 1639382690
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Entity Type | Organization
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Legal Business Name | CARES CENTER INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 402 WESLEY AVE
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City | JACKSON
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State | MS
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Zip | 39202
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Country | US
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Telephone | 601-352-7784
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Fax |
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Provider Business Mailing Address
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Address Line | 402 WESLEY AVE
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City | JACKSON
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State | MS
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Zip | 39202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER CHERNEY
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Credential |
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Telephone | 601-352-7784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State | MS
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