NPI | 1174940506 |
---|---|
Doing Business As | INCREDIBLE MINDS HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | KRIS R BROWN Billing Credentialing 919-693-0752 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 199553) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2025-04-29 |