Organization
INTENSIVE MENTAL CARE INC
Active
Other names
Intensive Rehab- Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE C COSTEN (PRESIDENT)
(252) 426-1390
Entity
Organization
Contact information
Practice address
102 WEST MAPEL STREET, GATESVILLE, NC 27938
(252) 426-1390
Mailing address
PO BOX 130, WINFALL, NC 27985-0130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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