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General NPI Number Information
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NPI Number | 1982044095
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Entity Type | Organization
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Legal Business Name | PARENTS HELPING INTERCEDE IN THE LIVES OF ADOLESCENTS IN NORTH CARO
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 836 W 1ST NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4548
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Country | US
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Telephone | 423-616-0213
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Fax | 865-381-0521
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Provider Business Mailing Address
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Address Line | 836 W 1ST NORTH ST # 103
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City | MORRISTOWN
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State | TN
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Zip | 37814-4548
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Country | US
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Telephone | 423-616-0213
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | WILLIAM BUTLER SR.
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Credential |
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Telephone | 865-306-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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