Organization · NPI-2

Integrity Integrated Services LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Gastonia, NC

NPI number1194510768

StatusActive

Last updated in NPPESApr 23, 2025

Details

NPI: 1194510768
Entity type: Organization (NPI-2)
Legal business name: Integrity Integrated Services LLC
Organization subpart: No
Enumeration date: Apr 14, 2025
Certification date: Apr 23, 2025
Last updated: Apr 23, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251K00000X	Public Health or Welfare	–	–
251S00000X	Community/Behavioral Health	–	–
252Y00000X	Early Intervention Provider Agency	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–

Practice location

5525 Mallard Ln
Gastonia, NC 28052-4133

Phone 704-466-5504

Mailing address

5525 Mallard Ln
Gastonia, NC 28052-4133

Phone 704-466-5504

Authorized official

Adrienne Clarissa Bolin
Ceo
7044665504

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