Organization
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS
Active
Organization
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS
Active
Other names
SODAT of NJ, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE POOLEY (CHIEF FINANCIAL OFFICER)
(856) 475-1310
Entity
Organization
Contact information
Practice address
75 MARKET ST, SALEM, NJ 08079-1918
(856) 935-0441
Mailing address
919 BROADWAY, WESTVILLE, NJ 08093-1436
(856) 475-1310
(856) 475-0055
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000040
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289515
—
NJ
Enumeration date
01/03/2013
Last updated
10/18/2018
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