Provider Demographics
NPI:1013737709
Name:INTEGRATING MOTIVATION LLC
Entity type:Organization
Organization Name:INTEGRATING MOTIVATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ ONWER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAGBOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-512-8256
Mailing Address - Street 1:999 HIDDEN LAKE DR APT 3F
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1180
Mailing Address - Country:US
Mailing Address - Phone:786-512-8256
Mailing Address - Fax:
Practice Address - Street 1:999 HIDDEN LAKE DR APT 3F
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1180
Practice Address - Country:US
Practice Address - Phone:786-512-8256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center