Provider First Line Business Practice Location Address:
555 EXECUTIVE PL STE 202
Provider Second Line Business Practice Location Address:
INTEGRATED BEHAVIORAL HEALTHCARE SERVICES, INC.
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28305-5155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-438-0947
Provider Business Practice Location Address Fax Number:
910-438-0906
Provider Enumeration Date:
06/04/2009