Provider Demographics
NPI:1265829584
Name:CARES CENTER INC
Entity Type:Organization
Organization Name:CARES CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:601-352-7784
Mailing Address - Street 1:PO BOX 1078
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39215-1078
Mailing Address - Country:US
Mailing Address - Phone:601-352-7784
Mailing Address - Fax:601-968-0021
Practice Address - Street 1:28281 ROAD 401
Practice Address - Street 2:
Practice Address - City:SAUCIER
Practice Address - State:MS
Practice Address - Zip Code:39574-7135
Practice Address - Country:US
Practice Address - Phone:601-352-7784
Practice Address - Fax:601-968-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS117736Medicaid