Provider Demographics
NPI:1225124209
Name:WE CARE INDIVIDUAL AND FAMILY SERVICE CENTER INC.
Entity Type:Organization
Organization Name:WE CARE INDIVIDUAL AND FAMILY SERVICE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:RING
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:423-570-1900
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-0307
Mailing Address - Country:US
Mailing Address - Phone:423-570-1900
Mailing Address - Fax:423-570-0008
Practice Address - Street 1:1273 DAYTON MTN HWY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-2816
Practice Address - Country:US
Practice Address - Phone:423-570-1900
Practice Address - Fax:423-570-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3705809Medicare PIN
TN3685725Medicare PIN