Individual
DAMENIAN EARL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2634 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4106
(850) 523-3333
(850) 523-3353
Mailing address
2634 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4106
(850) 523-3333
(850) 523-3353
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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