Innovative Behavioral Health Services P.c.

NPI 1124367347 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1124367347
Enumeration Date 02/07/2013
Last Updated 02/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BENJAMIN BENJAMIN
Position EXECUTIVE DIRECTOR
Phone (919) 529-2474
Fax
Practice Location
402 MAIN ST
CREEDMOOR NC, 27522, US
Phone (919) 529-2474
Fax
Business Location
402 MAIN ST
CREEDMOOR NC, 27522, US
Phone (919) 529-2474
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State
License Number
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According to our database, Innovative Behavioral Health Services P.c. NPI is 1124367347, taxonomy code is 363LP0808X Innovative Behavioral Health Services P.c. physically located at 402 Main St, Creedmoor NC, 27522. NPI Number 1033115704 has the healthcare provider type.

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1124367347 NPI number is provided on an as is basis without warranty of any kind. 1124367347 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Behavioral Health Services P.c. are for informational purposes only.