NPI 1205390622

Merchantville Addiction Treatment LLC

Organisation Substance Abuse Rehabilitation Facility Merchantville, NJ

Practice location

Address: 1 S Centre St, Merchantville, NJ 08109-2213
Phone: (800) 663-5548

Authorised official

Name: Jason Gooberman
Title: Ceo
Phone: (856) 449-6159

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New Jersey →

Registry record

NPI: 1205390622
Entity type: Organization
NPI issued: 30 Jan 2019
Record last updated: 30 Jan 2019

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.