Organization
CARE TRUST HEALTH SERVICES, INC.
Active
Organization
CARE TRUST HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEBRONE WILLIAMS SIGGERS (CEO)
(202) 909-0191
Entity
Organization
Contact information
Practice address
5500 EXECUTIVE CENTER DR STE 228, CHARLOTTE, NC 28212-8821
(202) 909-0191
Mailing address
3324 TIMBERBROOK DR APT A, CHARLOTTE, NC 28208-7616
(202) 909-0191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/12/2022
Last updated
04/17/2022
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