Organization
INTERGRATED MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE DE LEON (OFFICE MANAGER)
(703) 743-4060
Entity
Organization
Contact information
Practice address
1001 BERRYVILLE AVE, WINCHESTER, VA 22601-5900
(703) 743-4060
(540) 784-4464
Mailing address
1001 BERRYVILLE AVE, WINCHESTER, VA 22601-5900
(703) 743-4060
(540) 784-4464
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
04/12/2022
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