Provider Demographics
NPI:1073229530
Name:COMMUNITY INTEGRATION
Entity Type:Organization
Organization Name:COMMUNITY INTEGRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-707-3919
Mailing Address - Street 1:218 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3435
Mailing Address - Country:US
Mailing Address - Phone:717-559-5030
Mailing Address - Fax:717-222-5248
Practice Address - Street 1:218 N PINE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3435
Practice Address - Country:US
Practice Address - Phone:717-559-5030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty