Provider Demographics
NPI:1720387178
Name:CARTERS CIRCLE OF CARE INC
Entity Type:Organization
Organization Name:CARTERS CIRCLE OF CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-271-5888
Mailing Address - Street 1:2031 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:STE E
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-3342
Mailing Address - Country:US
Mailing Address - Phone:336-271-5888
Mailing Address - Fax:336-271-5882
Practice Address - Street 1:2031 MARTIN LUTHER KING JR DR
Practice Address - Street 2:STE E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-3342
Practice Address - Country:US
Practice Address - Phone:336-271-5888
Practice Address - Fax:336-271-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management