Organization
INTEGRATIVE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA BURKS (BUSINESS MANAGER)
(225) 302-0196
Entity
Organization
Contact information
Practice address
501 KREBS AVE STE C, PASCAGOULA, MS 39567-3123
(225) 302-0196
Mailing address
10632 HOLLY HOCK DR, GREENWELL SPRINGS, LA 70739-5312
(225) 302-0196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/06/2023
Last updated
06/11/2023
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