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Organization

INTEGRATED MENTAL HEALTH SERVICES

Active
Other names
Cenpatico
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL ANDREW DONALDSON PHD, PSYCHOLOGIST (CHIEF EXECUTIVE OFFICER)
(512) 406-7515
Entity
Organization

Contact information

Practice address
504 LAVACA STREET, SUITE 850, AUSTIN, TX 78701-2939
(512) 406-7200
Mailing address
504 LAVACA STREET, SUITE 850, AUSTIN, TX 78701-2939
(512) 406-7200

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
09/27/2011
Last updated
09/27/2011
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