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Organization

CAMELOT CARE CENTERS, INC

Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Other names
Camelot Care Centers, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
MS. LEIGH ANN VEALE LMFT (DIRECTOR OF OPERATIONS)
(615) 370-4228
Entity
Organization

Contact information

Practice address
391 BROAD ST NW, CLEVELAND, TN 37311-5039
(423) 476-3799
(423) 476-3795
Mailing address
391 BROAD ST NW, CLEVELAND, TN 37311-5039
(423) 476-3799
(423) 476-3795

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/18/2007
Last updated
06/26/2008
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