Organization
INTEGRITY INTEGRATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ADRIENNE CLARISSA BOLIN BS. QP, MBA, MPH, CH (CEO)
(704) 466-5504
Entity
Organization
Contact information
Practice address
5525 MALLARD LN, GASTONIA, NC 28052-4133
(704) 466-5504
Mailing address
5525 MALLARD LN, GASTONIA, NC 28052-4133
(704) 466-5504
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/14/2025
Last updated
04/23/2025
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