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Organization
INTEGRATED MENTAL HEALTH SERVICES
Active
Organization
INTEGRATED MENTAL HEALTH SERVICES
Active
Other names
Cenpatico
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ANDREW DONALDSON PHD, PSYCHOLOGIST (CHIEF EXECUTIVE OFFICER)
(512) 406-7515
Entity
Organization
Contact information
Practice address
504 LAVACA STREET, SUITE 850, AUSTIN, TX 78701-2939
(512) 406-7200
Mailing address
504 LAVACA STREET, SUITE 850, AUSTIN, TX 78701-2939
(512) 406-7200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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