Provider Demographics
NPI:1225452634
Name:INTRINSIC HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:INTRINSIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-856-8366
Mailing Address - Street 1:2103 SW 22ND ST
Mailing Address - Street 2:STE. 110
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2601
Mailing Address - Country:US
Mailing Address - Phone:305-856-8366
Mailing Address - Fax:305-854-0751
Practice Address - Street 1:2103 SW 22ND ST
Practice Address - Street 2:STE. 110
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-2601
Practice Address - Country:US
Practice Address - Phone:305-856-8366
Practice Address - Fax:305-854-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)