| Integrated Health Services, Llc | |
|
2 Eaton St Ste 1103 Hampton VA 23669-4054 | |
| (757) 838-1894 | |
| Not Available |
| Full Name | Integrated Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2 Eaton St Ste 1103, Hampton, Virginia |
| Authorized Official Name and Position | Jennifer Baloy (DIRECTOR) |
| Authorized Official Contact | 7578381894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health Services, Llc 2 Eaton St Ste 1103 Hampton VA 23669-4054 Ph: (757) 838-1894 | Integrated Health Services, Llc 2 Eaton St Ste 1103 Hampton VA 23669-4054 Ph: (757) 838-1894 |
| NPI Number | 1255620951 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255620951 | NPI | - | NPPES |
| 1255620951 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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