Organization
INTEGRATIVE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PANCIONE (CEO)
(540) 903-5144
Entity
Organization
Contact information
Practice address
13707 ISHNALA CIR, WELLINGTON, FL 33414-7804
(540) 903-5144
Mailing address
13707 ISHNALA CIR, WELLINGTON, FL 33414-7804
(540) 903-5144
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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