NPI | 1134795479 |
---|---|
Former Legal Business Name | INTERCARE, LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM BUNN Owner 385-221-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2021-05-27 |
Last Update Date | 2024-08-11 |