Provider Demographics
NPI:1013066059
Name:INTEGRATION PLUS, INC
Entity Type:Organization
Organization Name:INTEGRATION PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:573-443-6044
Mailing Address - Street 1:2000 E BROADWAY
Mailing Address - Street 2:#111
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6009
Mailing Address - Country:US
Mailing Address - Phone:573-443-6044
Mailing Address - Fax:573-443-6048
Practice Address - Street 1:4818 SANTANA CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-7138
Practice Address - Country:US
Practice Address - Phone:573-443-6044
Practice Address - Fax:573-443-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO15969603320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities