Provider Demographics
NPI:1255905451
Name:CARE TOUCH MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CARE TOUCH MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-210-3866
Mailing Address - Street 1:2032 AVONDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0926
Mailing Address - Country:US
Mailing Address - Phone:402-210-3866
Mailing Address - Fax:
Practice Address - Street 1:100 N ARLINGTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1299
Practice Address - Country:US
Practice Address - Phone:402-210-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty