Organization
INTEGRATED CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK GREEN (OWNER)
(980) 521-1547
Entity
Organization
Contact information
Practice address
5817 OCTOBER LN, KANNAPOLIS, NC 28081-9376
(980) 521-1547
Mailing address
5817 OCTOBER LN, KANNAPOLIS, NC 28081-9376
(980) 521-1547
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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