| Integrity, Inc | |
|
1091-1093 Broad Street Newark NJ 07102-0710 | |
| (973) 623-0600 | |
| (973) 642-5915 |
| Full Name | Integrity, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1091-1093 Broad Street, Newark, New Jersey |
| Authorized Official Name and Position | Kathleen Dedrick (CFO) |
| Authorized Official Contact | 9736230600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity, Inc 103 Lincoln Park P.o. Box 510 Newark NJ 07102 Ph: (973) 623-0600 | Integrity, Inc 1091-1093 Broad Street Newark NJ 07102-0710 Ph: (973) 623-0600 |
| NPI Number | 1164092631 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164092631 | NPI | - | NPPES |
| 700460104 | Other | NJ | STATE OF NJ |
| 0790737 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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