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General NPI Number Information
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NPI Number | 1942353172
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Entity Type | Organization
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Legal Business Name | CARING ARMS YOUTH AND FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 416 MCCULLOUGH DR SUITE 130
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City | CHARLOTTE
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State | NC
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Zip | 28262-4389
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Country | US
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Telephone | 704-510-1600
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Fax | 704-510-9222
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Provider Business Mailing Address
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Address Line | 416 MCCULLOUGH DR SUITE 130
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City | CHARLOTTE
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State | NC
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Zip | 28262-4389
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Country | US
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Telephone | 704-510-1600
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Fax | 704-510-9222
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Authorized Official
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Title or Position | OWNER - PROGRAM ADMINISTRATOR
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Name | MS. ROSALYN JACKSON
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Credential |
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Telephone | 704-510-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-060-883
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-0410713
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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