Provider Demographics
NPI:1992192678
Name:GLOBAL CARE CENTERS, INC
Entity Type:Organization
Organization Name:GLOBAL CARE CENTERS, INC
Other - Org Name:SUBSTANCE ABUSE ALCOHOL & BEHAVIOR MANAGEMENT INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREL-TITI
Authorized Official - Middle Name:A
Authorized Official - Last Name:IPADEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:770-865-9118
Mailing Address - Street 1:20 AYERS AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-2112
Mailing Address - Country:US
Mailing Address - Phone:770-865-9118
Mailing Address - Fax:888-341-3210
Practice Address - Street 1:20 AYERS AVE NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2112
Practice Address - Country:US
Practice Address - Phone:770-865-9118
Practice Address - Fax:888-341-3210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL CARE CENTERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPCOO4963101YP2500X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty