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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