Organization
INTEGRATED HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALOY (DIRECTOR)
(757) 838-1894
Entity
Organization
Contact information
Practice address
2 EATON ST STE 1103, HAMPTON, VA 23669-4054
(757) 838-1894
Mailing address
2 EATON ST STE 1103, HAMPTON, VA 23669-4054
(757) 838-1894
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255620951
—
VA
Enumeration date
04/04/2011
Last updated
11/12/2020
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