NPI | 1790084804 |
---|---|
Doing Business As | INDEPENDENT CAPACITY SYSTEM, INC. |
Entity Type | Organization |
Authorized Contact | PASCAL THEBAUD Executive Director 804-721-1720 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |