NPI | 1750999876 |
---|---|
Doing Business As | INTEGRAL MENTAL HEALTHCARE PLLC |
Entity Type | Organization |
Authorized Contact | JACQUELINE BENNETT HUDSON Pa C 910-644-6031 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-07-14 |
Last Update Date | 2025-01-12 |