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Organization
INTEGRATIVE HEALTHCARE CENTER
Active
Organization
INTEGRATIVE HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTY TAYLOR (CHIEF FINANCIAL OFFICER)
(561) 917-2993
Entity
Organization
Contact information
Practice address
155 MAIN DUNSTABLE RD STE 200, NASHUA, NH 03060-3640
(833) 622-0628
(603) 417-5937
Mailing address
155 MAIN DUNSTABLE RD STE 200, NASHUA, NH 03060-3640
(603) 821-0056
(603) 417-5937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124124
—
NH
Enumeration date
02/06/2020
Last updated
06/19/2023
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