Provider Demographics
NPI:1992544712
Name:INTEGRATE
Entity type:Organization
Organization Name:INTEGRATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:VACCARELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:603-305-9729
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:NEWFIELDS
Mailing Address - State:NH
Mailing Address - Zip Code:03856-0076
Mailing Address - Country:US
Mailing Address - Phone:603-305-9729
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE PARK N STE 13B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6959
Practice Address - Country:US
Practice Address - Phone:603-305-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEDFORD FAMILY THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty