=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669923140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE CARE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2016
-----------------------------------------------------
Last Update Date | 02/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1610 N MAIN STREET EXT
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16001-1513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-234-1370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1610 N MAIN STREET EXT
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16001-1513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-234-1370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | DAWN LUCAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 724-489-0215
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 107039
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------