Organization
JOHN BROOKS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ADDESSO (CFO)
(609) 347-8615
Entity
Organization
Contact information
Practice address
1315 PACIFIC AVE, ATLANTIC CITY, NJ 08401-7204
(609) 347-8615
Mailing address
1315 PACIFIC AVE, ATLANTIC CITY, NJ 08401-7204
(609) 347-8615
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
80160
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7620608
—
NJ
Enumeration date
07/11/2008
Last updated
07/11/2008
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