Provider Demographics
NPI:1306081476
Name:INTEGRATED LIVING, INC.
Entity type:Organization
Organization Name:INTEGRATED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-416-5300
Mailing Address - Street 1:42452 HAYES RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6771
Mailing Address - Country:US
Mailing Address - Phone:586-416-5300
Mailing Address - Fax:586-416-5301
Practice Address - Street 1:42452 HAYES RD STE 2A
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-6771
Practice Address - Country:US
Practice Address - Phone:586-416-5300
Practice Address - Fax:586-416-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)