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Organization

URBAN TREATMENT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D HOTTSCLAW M.D. (BOARD PRESIDENT)
(856) 225-0505
Entity
Organization

Contact information

Practice address
808 MARKET STREET, CAMDEN, NJ 08102
(856) 225-0505
(856) 541-0719
Mailing address
808 MARKET STREET, CAMDEN, NJ 08102
(856) 225-0505
(856) 541-0719

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2000459-09
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8635200
NJ
Enumeration date
12/09/2009
Last updated
09/08/2022
Update your record

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