Organization
THE INTEGRATED LIFE
Active
Other names
The Integrated Life
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE RACINE (OWNER/DIRECTOR)
(207) 894-4278
Entity
Organization
Contact information
Practice address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 894-4278
Mailing address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 894-4278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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