Organization
INDEPENDENCE-COMMUNITY ACCESS NETWORK, INC
Active
Other names
I-CAN,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE M RENK-SCHREIBER EDD, BCBA (CEO, CLINICAL DIRECTOR)
(321) 863-5286
Entity
Organization
Contact information
Practice address
274 BREVARD AVE, COCOA, FL 32922-7967
(321) 745-2720
Mailing address
600 FLORIDA AVE, SUITE 103, COCOA, FL 32922-7953
(321) 614-1379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
229742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685184396
—
FL
05
—
685184398
—
FL
Enumeration date
05/01/2008
Last updated
12/29/2016
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