Provider Demographics
NPI:1336638956
Name:INTEGRITY FAMILY HEALTH NETWORK
Entity Type:Organization
Organization Name:INTEGRITY FAMILY HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ARHONA
Authorized Official - Last Name:EGBIKUADJE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-859-7524
Mailing Address - Street 1:5251 OFFICE PARK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0667
Mailing Address - Country:US
Mailing Address - Phone:661-859-7524
Mailing Address - Fax:661-200-6144
Practice Address - Street 1:5401 BUSINESS PARK S STE 124
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0714
Practice Address - Country:US
Practice Address - Phone:661-859-7524
Practice Address - Fax:661-200-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
CA22426251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty