Organization
AMERICARE DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY TANIS WATKINS MPA (CEO)
(704) 506-6888
Entity
Organization
Contact information
Practice address
313 HARRILL RD, FOREST CITY, NC 28043
(704) 506-6888
(704) 378-0363
Mailing address
PO BOX 217125, CHARLOTTE, NC 28221-0125
(704) 506-6888
(704) 378-0363
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604253
—
NC
Enumeration date
11/15/2007
Last updated
06/23/2011
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