Organization
INTEGRITY CARE CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN STARK (SR RCM GENERAL MANAGER)
(317) 225-0489
Entity
Organization
Contact information
Practice address
9840 SE AMHERST ST, CLACKAMAS, OR 97015-9168
(623) 326-0644
Mailing address
5160 W SAINT JOHN RD, GLENDALE, AZ 85308-5370
(623) 326-0644
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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