Organization Name: | INNOVATIVE PROGRAMMING ASSOCIATES, INC. |
NPI Number: | 1063470656 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE COLEY (BILLING SUPERVISOR) |
Mailing Address: | 1134 N Road St Ste 6 Elizabeth City |
State: | NC US |
Postal Code: | 279093365 |
Phone Number: | 2523389005 |
Fax Number: | 2523389007 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |