Organization
INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L EVANS III PHD, LCPC, CCTP-II (CO-OWNER)
(202) 441-7989
Entity
Organization
Contact information
Practice address
3200 CRAIN HWY STE 205, WALDORF, MD 20603-4843
(240) 448-2475
(240) 448-2335
Mailing address
3200 CRAIN HWY STE 205, WALDORF, MD 20603-4843
(240) 448-2475
(240) 448-2335
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891005700
—
MD
Enumeration date
06/20/2022
Last updated
01/07/2024
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