Provider Demographics
NPI:1881227833
Name:CARE PLAS BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CARE PLAS BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:KWAME
Authorized Official - Last Name:ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-620-4200
Mailing Address - Street 1:3134 S MARKET ST APT 1077
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1334
Mailing Address - Country:US
Mailing Address - Phone:480-620-4200
Mailing Address - Fax:
Practice Address - Street 1:3134 S MARKET ST APT 1077
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1334
Practice Address - Country:US
Practice Address - Phone:480-620-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health