Organization
INDIVIDUALS FIRST CARE NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL LYNNE SPATES (CEO)
(757) 352-7764
Entity
Organization
Contact information
Practice address
209 RAIL ROAD ST., AHOSKIE, NC 27910-3042
(252) 862-8504
Mailing address
209 RAIL ROAD ST., AHOSKIE, NC 27910-3042
(252) 862-8504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
046-036
NC
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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