# INTEGRATE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEDFORD FAMILY THERAPY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992544712
- **Legal business name:** BEDFORD FAMILY THERAPY, LLC
- **Authorized official:** DIANE VACCARELLO MA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (603) 305-9729

## Contact information

- **Practice address:** 10 COMMERCE PARK N STE 13B, BEDFORD, NH 03110-6959
- **Practice address phone:** (603) 305-9729
- **Mailing address:** PO BOX 76, NEWFIELDS, NH 03856-0076
- **Mailing address phone:** (603) 305-9729

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024