Organization Name: | INTEGRITY FIRST BEHAVIORAL SERVICES, INC |
NPI Number: | 1245620541 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONISHIA C. MILLER (CEO/EXECUTIVE) |
Mailing Address: | 223 E Lake Ave Auburndale |
State: | FL US |
Postal Code: | 338233454 |
Phone Number: | 8639679000 |
Fax Number: | 8662451688 |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 4552 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |