Organization
INTERGRATED MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE DE LEON (COO/OFFICE MANAGER)
(703) 743-4060
Entity
Organization
Contact information
Practice address
101 MEDICAL CT STE 206, MARTINSBURG, WV 25401-3854
(540) 779-0607
(540) 784-4464
Mailing address
1001 BERRYVILLE AVE, WINCHESTER, VA 22601-5900
(703) 743-4060
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/26/2022
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