Organization
INTEGRATED HOME THERAPY INC
Active
Other names
INTEGRATED HOME THERAPY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WARREN (PRESIDENT)
(312) 731-6128
Entity
Organization
Contact information
Practice address
1401 N WIELAND ST APT W, CHICAGO, IL 60610-1252
(312) 312-6128
(773) 751-2250
Mailing address
1401 N WIELAND ST APT W, CHICAGO, IL 60610-1252
(312) 312-6128
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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