| Intensive Mental Care Inc | |
|
317 Ocean Hwy S Hertford NC 27944-7902 | |
| (252) 426-1390 | |
| Not Available |
| Full Name | Intensive Mental Care Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 317 Ocean Hwy S, Hertford, North Carolina |
| Authorized Official Name and Position | Valerie C Costen (PRESIDENT/CEO) |
| Authorized Official Contact | 2523330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Mental Care Inc Po Box 1207 Wake Forest NC 27588-1207 Ph: (252) 426-1390 | Intensive Mental Care Inc 317 Ocean Hwy S Hertford NC 27944-7902 Ph: (252) 426-1390 |
| NPI Number | 1174755938 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174755938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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