# INTEGRATIVE HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR GAV LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023200227
- **Legal business name:** DR GAV LLC
- **Authorized official:** DR. GABRIEL NEWMAN PHD (CLINICAL DIRECTOR)
- **Authorized official phone:** (410) 764-7777

## Contact information

- **Practice address:** 3601 CLARKS LN, SUITE 5A, BALTIMORE, MD 21215-2731
- **Practice address phone:** (410) 764-7777
- **Practice address fax:** (410) 764-7788
- **Mailing address:** 3601 CLARKS LN, SUITE 5A, BALTIMORE, MD 21215-2731
- **Mailing address phone:** (410) 764-7777
- **Mailing address fax:** (410) 764-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LCM132 | MD | — |
| 106H00000X | Marriage & Family Therapist | LCM132 | MD | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007