Organization
IC COMMUNITY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GONZALEZ (VICE PRESIDENT)
(305) 846-9303
Entity
Organization
Contact information
Practice address
1968 S CONGRESS AVE, WEST PALM BEACH, FL 33406-6674
(561) 410-5433
Mailing address
1968 S CONGRESS AVE, WEST PALM BEACH, FL 33406-6674
(561) 410-5433
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/14/2020
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