Organization
INTEGRATIVE HEALTH CLINIC
Active
Parent organization
DR GAV LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR GAV LLC
Authorized official
DR. GABRIEL NEWMAN PHD (CLINICAL DIRECTOR)
(410) 764-7777
Entity
Organization
Contact information
Practice address
3601 CLARKS LN, SUITE 5A, BALTIMORE, MD 21215-2731
(410) 764-7777
(410) 764-7788
Mailing address
3601 CLARKS LN, SUITE 5A, BALTIMORE, MD 21215-2731
(410) 764-7777
(410) 764-7788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCM132
MD
106H00000X
Marriage & Family Therapist
Primary
LCM132
MD
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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