Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Cognitive Services, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1871709774

Innovative Cognitive Services, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Pembroke, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 S Jones St
Pembroke, NC 28372
Phone: (910) 521-3009
Fax: (910) 521-3010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-078-191 (NC)

Record details

NPI number1871709774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reginald Oxendine — President · (910) 521-3009
NPI enumeratedMay 15, 2007
Last updated in NPPESMay 14, 2009
Mailing addressPo Box 3695, Pembroke, NC 28372-3695