Organization
INTENSIVE MENTAL CARE INC
Active
Other names
Intensive Rehab-Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE C COSTEN (PRESIDENT/CEO)
(252) 333-0500
Entity
Organization
Contact information
Practice address
317 OCEAN HWY S, HERTFORD, NC 27944-7902
(252) 426-1390
Mailing address
PO BOX 1207, WAKE FOREST, NC 27588-1207
(252) 426-1390
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/12/2009
Last updated
10/28/2010
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