Healthcare Provider Details

I. General information

NPI: 1346754223
Provider Name (Legal Business Name): INTEGRATION AND HEALING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 11/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N MAGNOLIA AVE STE 216
OCALA FL
34475-6643
US

IV. Provider business mailing address

5610 SE 2ND ST
OCALA FL
34480-3530
US

V. Phone/Fax

Practice location:
  • Phone: 352-304-0933
  • Fax:
Mailing address:
  • Phone: 352-304-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHENORA NETASCHIA ADJEI-CHRISTIE
Title or Position: CEO/OWNER
Credential: MSW
Phone: 352-304-0933