| NPI | 1659931087 |
|---|---|
| Doing Business As | INTERCEPT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DIANE MICHELLE FERGUSON Billing Manager 046-756-0428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2020-09-24 |