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Innovative Cognitive Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Pembroke, North Carolina
NPI 1871709774

Innovative Cognitive Services, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Pembroke, NC. Innovative Cognitive Services, Inc. practices in Pembroke, NC. The NPI Number for Innovative Cognitive Services, Inc. is 1871709774 and holds a License No. MHL-078-191 (North Carolina).

The current practice location address for Innovative Cognitive Services, Inc. is 410 South Jones Street, Pembroke, NC and can be reached out via phone at 910-521-3009 and via fax at 910-521-3010.

Location: 410 South Jones Street, Pembroke, NC, 28372-3695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871709774
Provider Name
Innovative Cognitive Services, Inc.
Credential
Provider Entity Type
Organization
Address
410 South Jones Street, Pembroke, NC, 28372-3695
Phone Number
910-521-3009
Fax Number
910-521-3010
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8302075 05 NC
institution
Provider Business Practice Location Address Details
Address
410 South Jones Street
City
Pembroke
State
North Carolina
Zip
28372
Phone Number
910-521-3009
Fax Number
910-521-3010
person
Provider Business Mailing Address Details
Address
410 South Jones Street
City
Pembroke
State
North Carolina
Zip
28372
Phone Number
910-521-3009
Fax Number
910-521-3010
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-078-191 (North Carolina)
Definition
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.
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