| Integrated Therapeutic Services | |
|
985 Patton St North Brunswick NJ 08902-2285 | |
| (732) 247-9772 | |
| (732) 247-5772 |
| Full Name | Integrated Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 985 Patton St, North Brunswick, New Jersey |
| Authorized Official Name and Position | Donna Gilchrist (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8484489152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Therapeutic Services 985 Patton St North Brunswick NJ 08902-2285 Ph: (732) 247-9772 | Integrated Therapeutic Services 985 Patton St North Brunswick NJ 08902-2285 Ph: (732) 247-9772 |
| NPI Number | 1073898607 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Medicare PECOS PAC ID | 4789850256 |
|---|---|
| Medicare Enrollment ID | O20120104000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073898607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04836500 (New Jersey) | Primary |
| Provider Name | Donna Gilchrist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184828550 PECOS PAC ID: 5890732267 Enrollment ID: I20050418000159 |
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