Whalio Doctors

NPI 1801018361

Maryville, INC.

Organisation Substance Abuse Rehabilitation Facility Williamstown, NJ

Practice location

Address
1903 Grant Ave, Williamstown, NJ 08094
Phone
(856) 629-0244
Fax
(856) 629-0799
Mailing address
1903 Grant Ave, Williamstown, NJ 08094-6139

Authorised official

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

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 80850 (NJ)

Registry record

NPI
1801018361
Entity type
Organization
NPI issued
3 May 2007
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.