The Independent Capacity System, Inc.
NPI #1790084804 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1790084804
- Entity Type
- Organization
- Organization Name
- The Independent Capacity System, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 15, 2011
- Last Updated
- Mar 15, 2011
Practice Location
- Address
- 16015 CONTINENTAL BLVD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-5900
- Phone
- (804) 721-1720
Authorized Official
- Name
- MR. PASCAL THEBAUD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 721-1720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community/Behavioral Health |
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