Integrated Life Center, Inc.
LBN: Integrated Life Center, Inc.
Integrated Life Center, Inc. is an health care organization with primary practice located at 4641 Stonegate Industrial Blvd , Stone Mountain GA 30083-1908. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Integrated Life Center, Inc. can be contacted via phone (404) 377-5556, or through O'Brien, Dennis Arthur via phone (404) 377-5556.
Contact Information
Primary practice address
4641 Stonegate Industrial Blvd
Stone Mountain GA 30083-1908
Phone: (404) 377-5556
Fax: (404) 292-9903
Website:
Authorized official contact:
Name: O'Brien, Dennis Arthur Doctor of Medicine (MD)
Phone: (404) 377-5556
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 025893 | Georgia |
Profile Details
| NPI number | 1427199199 |
|---|---|
| LBN Legal business name | Integrated Life Center, Inc. |
| DBA Doing business as | |
| Authorized official | O'Brien, Dennis Arthur Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 21st, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427199199 | NPPES |
| Georgia | MEDICAID | 00921324A |
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