Organization
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Active
Other names
SODAT of New Jersey, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE POOLEY (CFO)
(856) 475-1310
Entity
Organization
Contact information
Practice address
124 N BROAD ST, WOODBURY, NJ 08096
(856) 475-1310
(856) 742-0055
Mailing address
919 BROADWAY, WESTVILLE, NJ 08093-1436
(856) 475-1310
(856) 742-0031
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
40840
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412911
—
NJ
Enumeration date
09/05/2014
Last updated
10/18/2018
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