Organization
INTEGRATED PROGRAMS AND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRBY DALE EVANS (CHIEF EXECUTIVE OFFICER)
(919) 648-2918
Entity
Organization
Contact information
Practice address
906 EAST ELM STREET, SUITE B, GOLDSBORO, NC 27530
(919) 648-2918
Mailing address
PO BOX 315, GOLDSBORO, NC 27533-0315
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301635
—
NC
Enumeration date
01/12/2007
Last updated
09/05/2007
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