| Integral Care Network, Llc | |
|
200 N Nicholls St Waycross GA 31502-1344 | |
| (912) 285-4400 | |
| Not Available |
| Full Name | Integral Care Network, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 N Nicholls St, Waycross, Georgia |
| Authorized Official Name and Position | William S. Parks (CEO) |
| Authorized Official Contact | 9122854400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Care Network, Llc Po Box 1344 Waycross GA 31502-1344 Ph: (912) 285-4400 | Integral Care Network, Llc 200 N Nicholls St Waycross GA 31502-1344 Ph: (912) 285-4400 |
| NPI Number | 1699185108 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 05/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699185108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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