The Integrated Life

NPI #1972245728 in Gorham, Maine

Provider Information

NPI Number: 1972245728
Entity Type: Organization
Organization Name: The Integrated Life
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 12, 2022
Last Updated: Apr 12, 2022

Practice Location

Address: 28 STATE ST STE 5
City: Gorham
State: Maine
ZIP Code: 04038-1147
Phone: (207) 894-4278

Authorized Official

Name: JAMIE RACINE, LCSW
Title: FOUNDER/CLINICAL DIRECTOR
Phone: (207) 894-4278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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