Provider Demographics
NPI:1225646177
Name:INTEGRITY LIVING OPTIONS, INC.
Entity Type:Organization
Organization Name:INTEGRITY LIVING OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-236-1727
Mailing Address - Street 1:1121 JACKSON ST NE STE 113
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1637
Mailing Address - Country:US
Mailing Address - Phone:612-236-1727
Mailing Address - Fax:
Practice Address - Street 1:1121 JACKSON ST NE STE 113
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1637
Practice Address - Country:US
Practice Address - Phone:612-236-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty