Provider Demographics
NPI:1619576600
Name:B-CAR3 CORPORATION
Entity Type:Organization
Organization Name:B-CAR3 CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:478-251-3409
Mailing Address - Street 1:35 QUAILS CT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-4044
Mailing Address - Country:US
Mailing Address - Phone:478-251-3409
Mailing Address - Fax:
Practice Address - Street 1:274 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SOCIAL CIRCLE
Practice Address - State:GA
Practice Address - Zip Code:30025-3074
Practice Address - Country:US
Practice Address - Phone:478-251-3409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1083211015OtherNPPES