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General NPI Number Information
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NPI Number | 1962370692
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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 | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 205 JEFF DAVIS PL STE A
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1459
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Country | US
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Telephone | 404-205-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 205 JEFF DAVIS PL STE A
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1459
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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 | 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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