Organization
INTENSIVE MENTAL CARE INC
Active
Other names
Intensive Rehab Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
EULANDA ELLIOTT (PRESIDENT)
(252) 312-8207
Entity
Organization
Contact information
Practice address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(252) 312-8207
(888) 535-2496
Mailing address
PO BOX 1207, WAKE FOREST, NC 27588-1207
(252) 312-8207
(888) 535-2496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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