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
659 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1119
(973) 848-3730
Mailing address
PO BOX 510, NEWARK, NJ 07101-0510
(973) 623-0600
(973) 623-2205
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000249
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310328
WFNJ MEDICAID PROVIDER
NJ
Enumeration date
01/29/2007
Last updated
05/05/2021
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