Provider Demographics
NPI:1568673945
Name:INTEGRITY THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:INTEGRITY THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-550-0834
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:WEISER
Mailing Address - State:ID
Mailing Address - Zip Code:83672-0783
Mailing Address - Country:US
Mailing Address - Phone:208-550-0834
Mailing Address - Fax:208-549-3725
Practice Address - Street 1:1818 S 10TH AVE
Practice Address - Street 2:STE 200
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4803
Practice Address - Country:US
Practice Address - Phone:208-459-4412
Practice Address - Fax:208-454-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health