# INTEGRATED CHILDRENS THERAPIES

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

## Provider details

- **NPI number:** 1518127331
- **Authorized official:** LISA VAN GORDER (OWNER)
- **Authorized official phone:** (508) 284-3916

## Contact information

- **Practice address:** 2 COOLIDGE ST, HUDSON, MA 01749-1459
- **Practice address phone:** (978) 568-8800
- **Practice address fax:** (978) 568-8877
- **Mailing address:** 20 JOHNSON AVE, NORTHBOROUGH, MA 01532-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 10/08/2019