Integrated Care Services, Inc.
NPI #1063757722 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1063757722
- Entity Type
- Organization
- Organization Name
- Integrated Care Services, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Mar 19, 2015
Practice Location
- Address
- 630 LIGE ST
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29730-5641
- Phone
- (910) 331-9578
Authorized Official
- Name
- MR. DERRICK JEROME GREEN SR., BS,QP
- Title
- C.E.O.
- Phone
- (910) 331-9578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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