Integrated Behavioral Center Pc

LBN: Integrated Behavioral Center Pc
Integrated Behavioral Center Pc is an health care organization with primary practice located at 1121 Cornell Avenue , Savannah GA 31406. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Integrated Behavioral Center Pc can be contacted via phone (912) 355-4987, or through Dass, Manoj K via phone (912) 355-4987.

Contact Information

Primary practice address
1121 Cornell Avenue Savannah GA 31406
Phone: (912) 355-4987
Fax: (912) 353-7257
Website:
Map and Directions
Authorized official contact:
Name: Dass, Manoj K Doctor of Medicine (MD)
Phone: (912) 355-4987

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 002990 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22536 Georgia

Profile Details

NPI number 1649201625
LBN Legal business name Integrated Behavioral Center Pc
DBA Doing business as
Authorized official Dass, Manoj K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649201625 NPPES
Georgia MEDICAID 00235034A

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