# INTEGRATIVE HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215569405
- **Authorized official:** RUSTY TAYLOR (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (561) 917-2993

## Contact information

- **Practice address:** 155 MAIN DUNSTABLE RD STE 200, NASHUA, NH 03060-3640
- **Practice address phone:** (833) 622-0628
- **Practice address fax:** (603) 417-5937
- **Mailing address:** 155 MAIN DUNSTABLE RD STE 200, NASHUA, NH 03060-3640
- **Mailing address phone:** (603) 821-0056
- **Mailing address fax:** (603) 417-5937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 06/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3124124 | — | NH |