De Integro LLC

NPI #1427838580 in Dothan, Alabama

Provider Information

NPI Number: 1427838580
Entity Type: Organization
Organization Name: De Integro LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 4, 2023
Last Updated: Oct 4, 2023

Practice Location

Address: 187 BELMONT DR
City: Dothan
State: Alabama
ZIP Code: 36305-6500
Phone: (334) 671-1280

Authorized Official

Name: JEREMIAH GARRETT DALTON, LPC
Title: OWNER
Phone: (334) 796-1485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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