Provider Demographics
NPI:1063095115
Name:INTEGRITY, INC
Entity type:Organization
Organization Name:INTEGRITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-623-0600
Mailing Address - Street 1:103 LINCOLN PARK
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2388
Mailing Address - Country:US
Mailing Address - Phone:973-623-0600
Mailing Address - Fax:973-623-2205
Practice Address - Street 1:595 COUNTY AVENUE
Practice Address - Street 2:BUILDING 6 FIRST FLOOR
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094
Practice Address - Country:US
Practice Address - Phone:201-617-2757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0500194Medicaid
NJ2000154OtherSTATE LICENSE