Provider Demographics
NPI:1902205586
Name:INNOVATIVE CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:INNOVATIVE CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-921-6275
Mailing Address - Street 1:3797 FILTON DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-9807
Mailing Address - Country:US
Mailing Address - Phone:720-921-6275
Mailing Address - Fax:336-217-8177
Practice Address - Street 1:3797 FILTON DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-9807
Practice Address - Country:US
Practice Address - Phone:720-921-6275
Practice Address - Fax:336-217-8177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health