Provider Demographics
NPI:1780720649
Name:INTEGRITY, INC.
Entity type:Organization
Organization Name:INTEGRITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-623-0600
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0510
Mailing Address - Country:US
Mailing Address - Phone:973-623-0600
Mailing Address - Fax:973-623-2205
Practice Address - Street 1:659 DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1119
Practice Address - Country:US
Practice Address - Phone:973-848-3730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000249261QR0405X
NJ80178324500000X
NJ80762324500000X
NJ22541324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0310328OtherWFNJ MEDICAID PROVIDER
NJ1000080OtherDEPARTMENT OF HUMAN SERVICES
NJ7602201Medicaid
NJ7603207Medicaid
NJ7603401Medicaid
NJ1000070OtherDEPARTMENT OF HUMAN SERVICES
NJ7603100Medicaid
NJ0102504Medicaid