Organization
INTEGRAL CARE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S. PARKS ATTORNEY, CPA, JD (CEO)
(912) 285-4400
Entity
Organization
Contact information
Practice address
200 N NICHOLLS ST, WAYCROSS, GA 31502-1344
(912) 285-4400
Mailing address
PO BOX 1344, WAYCROSS, GA 31502-1344
(912) 285-4400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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