Provider Demographics
NPI:1073872578
Name:CARE TRUST RESEARCH INSTITUTE, LLC
Entity Type:Organization
Organization Name:CARE TRUST RESEARCH INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-204-2025
Mailing Address - Street 1:2221 S SHERMAN CIR
Mailing Address - Street 2:E209
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2221 S SHERMAN CIR
Practice Address - Street 2:E209
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2278
Practice Address - Country:US
Practice Address - Phone:754-204-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No305S00000XManaged Care OrganizationsPoint of Service