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Organization
INTENSIVE MENTAL CARE INC
Active
Organization
INTENSIVE MENTAL CARE INC
Active
Other names
Intensive Rehab Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
EULANDA M ELLIOTT (PRESIDENT)
(252) 312-8207
Entity
Organization
Contact information
Practice address
2015 AYRSLEY TOWN BLVD, SUITE 202, CHARLOTTE, NC 28273-4067
(252) 312-8207
Mailing address
PO BOX 1207, WAKE FOREST, NC 27588-1207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/16/2010
Last updated
10/16/2010
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