Provider Demographics
NPI:1396008009
Name:CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CARE SOLUTIONS, LLC
Other - Org Name:CARE SOLUTIONS TREATMENT CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OUTPATIENT PROGRAM
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULY
Authorized Official - Suffix:
Authorized Official - Credentials:CAS, RAS
Authorized Official - Phone:209-544-1500
Mailing Address - Street 1:122 W GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4431
Mailing Address - Country:US
Mailing Address - Phone:209-544-1500
Mailing Address - Fax:209-544-1515
Practice Address - Street 1:122 W GRANGER AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4431
Practice Address - Country:US
Practice Address - Phone:209-544-1500
Practice Address - Fax:209-544-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500022BP101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty