| NPI | 1417514753 |
|---|---|
| Doing Business As | INTERCEPT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DIANE MICHELLE FERGUSON Billing Manager 804-675-6042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-09-24 |