Organization
INTENSIVE MENTAL CARE INC
Active
Other names
Intensive Rehab Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EULANDA M ELLIOTT (PRESIDENT)
(252) 312-8207
Entity
Organization
Contact information
Practice address
401 S GRIFFIN ST STE 175, ELIZABETH CITY, NC 27909-4594
(252) 335-9400
(888) 535-2496
Mailing address
PO BOX 1207, WAKE FOREST, NC 27588-1207
(252) 312-8207
(888) 535-2496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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