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Organization

INTEGRATED BEHAVIORAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANOJ K DASS MD (PRESIDENT)
(912) 355-4987
Entity
Organization

Contact information

Practice address
1121 CORNELL AVENUE, SAVANNAH, GA 31406
(912) 355-4987
(912) 353-7257
Mailing address
1121 CORNELL AVENUE, SAVANNAH, GA 31406
(912) 355-4987
(912) 353-7257

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002990
GA
2084P0800X
Psychiatry Physician
22536
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00235034A
GA
Enumeration date
07/06/2006
Last updated
09/11/2025
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