Organization
INTEGRITY LIVING FDN. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA ROESLER (FOUNDER/OWNER)
(267) 987-8844
Entity
Organization
Contact information
Practice address
122 N GOUVERNEUR AVE, TRENTON, NJ 08618-5308
(267) 987-8844
Mailing address
122 N GOUVERNEUR AVE, TRENTON, NJ 08618-5308
(267) 987-8844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05
OWNER
—
Enumeration date
03/15/2022
Last updated
01/05/2023
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