Organization
INTEGRAL REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALLIE J ROBBINS DO (CEO)
(801) 696-5257
Entity
Organization
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047-1436
(801) 696-5257
(801) 683-1589
Mailing address
49 E 96TH ST, NEW YORK, NY 10128-0782
(801) 696-5257
(801) 831-5896
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612080200
ACS
—
Enumeration date
01/07/2010
Last updated
03/16/2022
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