| Organization Name: | INTEGRITY LIFESKILLS LLC |
| NPI Number: | 1245370923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM NORMAN GEARY (CO OWNERS) |
| Mailing Address: | Bremond St 506 Versailles |
| State: | MO US |
| Postal Code: | 65084 |
| Phone Number: | 5733786768 |
| Fax Number: | 5733786768 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |