Organization
INTEGRATIVE TREATMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL PETERKIN (PRINCIPAL)
(336) 292-2923
Entity
Organization
Contact information
Practice address
2329 SPRINGS RD NE, HICKORY, NC 28601-3067
(919) 440-7215
Mailing address
3701 COTSWOLD TER UNIT 3K, GREENSBORO, NC 27410-8905
(919) 440-7215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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