Organization
INTEGRITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA WOOTEN (DIRECTOR OF BILLING SERVICES)
(973) 623-0600
Entity
Organization
Contact information
Practice address
1091-1093 BROAD STREET, NEWARK, NJ 07102
(973) 623-0600
(973) 642-5915
Mailing address
103 LINCOLN PARK, NEWARK, NJ 07102-2388
(973) 623-0600
(973) 623-2205
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310221
—
NJ
01
—
2000050
STATE LICENSE
NJ
Enumeration date
10/19/2020
Last updated
02/29/2024
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