Organization
INTEGRATED HEALTHCARE ASSOCIATES LLC
Active
Parent organization
INTEGRATED SERVICES FOR BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED SERVICES FOR BEHAVIORAL HEALTH
Authorized official
JACLYN M WILSON (PROJECT MANAGER - BILLING)
(740) 258-6480
Entity
Organization
Contact information
Practice address
5 CHARLES ST, ATHENS, OH 45701-2329
(800) 321-8293
Mailing address
PO BOX 132, ATHENS, OH 45701-0132
(800) 321-8293
(844) 623-7178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019584
OH
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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