Intercare Therapy INC.
Community/Behavioral Health in Las Vegas, NV. Organization (NPI-2).
NPI number1164065892
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1164065892
- Entity type
- Organization (NPI-2)
- Legal business name
- Intercare Therapy INC.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2019
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
6851 W Charleston BlvdLas Vegas, NV 89117-1600
Phone 888-428-3223 · Fax 323-866-1881
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
Authorized official
Jonathan Taiman
Payor Relations Specialist
8884283223
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