Provider Demographics
NPI:1053965483
Name:CARING CENTER
Entity type:Organization
Organization Name:CARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:360-546-2475
Mailing Address - Street 1:19101 BROOKE GROVE CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5165
Mailing Address - Country:US
Mailing Address - Phone:240-632-0762
Mailing Address - Fax:240-632-0762
Practice Address - Street 1:19101 BROOKE GROVE CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5165
Practice Address - Country:US
Practice Address - Phone:240-632-0762
Practice Address - Fax:240-632-0762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty