Innovative Cognitive Services, Inc.
NPI #1871709774 in Pembroke, North Carolina
Provider Information
- NPI Number
- 1871709774
- Entity Type
- Organization
- Organization Name
- Innovative Cognitive Services, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 15, 2007
- Last Updated
- May 14, 2009
Practice Location
- Address
- 410 SOUTH JONES STREET
- City
- Pembroke
- State
- North Carolina
- ZIP Code
- 28372
- Phone
- (910) 521-3009
Authorized Official
- Name
- DR. REGINALD LEE OXENDINE JR., EDD
- Title
- PRESIDENT
- Phone
- (910) 521-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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