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Organization
INTEGRATIVE THERAPY CENTER LLC
Active
Organization
INTEGRATIVE THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN JOSE ROBLES GIL ALEMAN (OWNER)
(617) 784-4246
Entity
Organization
Contact information
Practice address
242 W 30TH ST RM 602, NEW YORK, NY 10001-4954
(917) 268-9213
Mailing address
242 W 30TH ST RM 602, NEW YORK, NY 10001-4954
(917) 268-9213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/15/2020
Last updated
07/06/2022
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