Provider Demographics
NPI:1780043133
Name:CARE TEAM HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:CARE TEAM HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAZMINE
Authorized Official - Middle Name:WHITNEY -CLARITA
Authorized Official - Last Name:BUTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-392-9366
Mailing Address - Street 1:8206 DURALEE LN
Mailing Address - Street 2:STE E
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-2589
Mailing Address - Country:US
Mailing Address - Phone:770-627-3907
Mailing Address - Fax:
Practice Address - Street 1:8206 DURALEE LN
Practice Address - Street 2:STE E
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2589
Practice Address - Country:US
Practice Address - Phone:770-627-3907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty