Whalio Doctors

NPI 1073023354

Maryville, INC

Organisation Substance Abuse Rehabilitation Facility Williamstown, NJ

Practice location

Address
1903 Grant Ave, Williamstown, NJ 08094
Phone
(856) 629-0244
Fax
(856) 629-3760
Mailing address
129 Johnson Rd STE 7, Turnersville, NJ 08012-1777

Authorised official

Name
Jared Levy
Title
Cfo
Phone
(856) 863-3913

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1000028 (NJ)

Registry record

NPI
1073023354
Entity type
Organization
NPI issued
2 Oct 2017
Record last updated
1 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.