Integrative Treatment Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INTEGRATIVE TREATMENT CENTER LLC

Practice address

13707 Ishnala Cir
Wellington, FL 33414-7804

Phone

(540) 903-5144

NPI assigned

Feb 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Pancione

Title

Ceo

Phone

(540) 903-5144

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1477977635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13707 ISHNALA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147804",
            "telephone_number": "540-903-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 ISHNALA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147804",
            "telephone_number": "540-903-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "PANCIONE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-903-5144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Wellington, FL
• Providers in Wellington, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.