Healthcare Provider Details

I. General information

NPI: 1164092631
Provider Name (Legal Business Name): INTEGRITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091-1093 BROAD STREET
NEWARK NJ
07102-0710
US

IV. Provider business mailing address

103 LINCOLN PARK P.O. BOX 510
NEWARK NJ
07102
US

V. Phone/Fax

Practice location:
  • Phone: 973-623-0600
  • Fax: 973-642-5915
Mailing address:
  • Phone: 973-623-0600
  • Fax: 973-623-2205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN DEDRICK
Title or Position: CFO
Credential:
Phone: 973-623-0600