Provider Demographics
NPI:1245583376
Name:INTEGRITY PSYCH CARE, LP
Entity Type:Organization
Organization Name:INTEGRITY PSYCH CARE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GILILLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-798-8374
Mailing Address - Street 1:500 MAIN STREET
Mailing Address - Street 2:SUITE 750
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102
Mailing Address - Country:US
Mailing Address - Phone:817-798-8374
Mailing Address - Fax:
Practice Address - Street 1:500 MAIN STREET
Practice Address - Street 2:SUITE 750
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3937
Practice Address - Country:US
Practice Address - Phone:817-798-8374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home