Provider Demographics
NPI:1689964504
Name:A CARING TEAM SUPPORT SERVICES,LLC
Entity Type:Organization
Organization Name:A CARING TEAM SUPPORT SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-244-1168
Mailing Address - Street 1:4626 WEBER RD
Mailing Address - Street 2:SUITE #21
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3543
Mailing Address - Country:US
Mailing Address - Phone:361-851-0311
Mailing Address - Fax:361-851-0990
Practice Address - Street 1:4626 WEBER RD
Practice Address - Street 2:SUITE #21
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3543
Practice Address - Country:US
Practice Address - Phone:361-851-0311
Practice Address - Fax:361-851-0990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health