Organization
DE INTEGRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH GARRETT DALTON LPC (OWNER)
(334) 796-1485
Entity
Organization
Contact information
Practice address
187 BELMONT DR, DOTHAN, AL 36305-6500
(334) 671-1280
Mailing address
232 PEBBLE CREEK DR, OZARK, AL 36360-4709
(334) 796-1485
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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