| NPI | 1285560391 |
|---|---|
| Doing Business As | ICM SOUTH |
| Entity Type | Organization |
| Authorized Contact | JACK FARMER CAO 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |