| Integral Development Therapies, Llc | |
|
108 Main St Suite #5 Oceanport NJ 07757-1030 | |
| (732) 241-3029 | |
| (732) 865-7772 |
| Full Name | Integral Development Therapies, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 Main St, Oceanport, New Jersey |
| Authorized Official Name and Position | Virginia Downey (OWNER) |
| Authorized Official Contact | 7322413029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Development Therapies, Llc 108 Main St Ste 5 Oceanport NJ 07757-1030 Ph: (732) 241-3029 | Integral Development Therapies, Llc 108 Main St Suite #5 Oceanport NJ 07757-1030 Ph: (732) 241-3029 |
| NPI Number | 1073807558 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073807558 | NPI | - | NPPES |
| 1386780898 | Other | NJ | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05358800 (New Jersey) | Primary |
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