Organization
CARES CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D DAMON PH.D. (CHIEF EXECUTIVE OFFICER)
(601) 352-7784
Entity
Organization
Contact information
Practice address
28281 ROAD 401, SAUCIER, MS 39574-7135
(601) 352-7784
(601) 968-0021
Mailing address
PO BOX 1078, JACKSON, MS 39215-1078
(601) 352-7784
(601) 968-0021
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117736
—
MS
Enumeration date
04/24/2015
Last updated
04/24/2015
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