Provider Demographics
NPI:1720570666
Name:CARE PARTNERS OF AMERICA
Entity Type:Organization
Organization Name:CARE PARTNERS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-277-0115
Mailing Address - Street 1:309 VALLEY VIEW AVE SW
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3528
Mailing Address - Country:US
Mailing Address - Phone:571-277-0115
Mailing Address - Fax:
Practice Address - Street 1:309 VALLEY VIEW AVE SW
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3528
Practice Address - Country:US
Practice Address - Phone:571-277-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health