Organization
INTEGRATIVE HUMAN SERVICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLAJUMOKE ORIYOMI OGUNTOLA (PROGRAM DIRECTOR)
(443) 529-4960
Entity
Organization
Contact information
Practice address
3121 DANZLER CIR, NORTH CHESTERFIELD, VA 23224-4311
(443) 529-4960
Mailing address
3121 DANZLER CIR, NORTH CHESTERFIELD, VA 23224-4311
(443) 529-4960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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