| 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 | 2021-05-27 |