Organization · Type 2 NPI
Innovative Cognitive Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Pembroke, NC
Practice location
410 South Jones Street
Pembroke, NC 28372
Fax (910) 521-3010
Mailing address
PO Box 3695
Pembroke, NC 28372-3695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-078-191 (NC) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1871709774
Innovative Cognitive Services, Inc.'s National Provider Identifier is 1871709774, issued on May 15, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Pembroke, NC. The record was last updated on May 14, 2009.