Organization
INTEGRITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEDRICK (CFO)
(973) 623-0600
Entity
Organization
Contact information
Practice address
310 MAIN ST STE 3B, TOMS RIVER, NJ 08753-7401
(973) 623-0600
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
2000631
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0512541
WFNJ MEDICAID PROVIDER
NJ
Enumeration date
10/17/2017
Last updated
05/05/2021
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