Organization
INTERCARE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TAIMAN (PAYOR RELATIONS SPECIALIST)
(888) 428-3223
Entity
Organization
Contact information
Practice address
6851 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/06/2023
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