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Organization

RESCUE MISSION OF TRENTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRETT YOUNG (CHIEF EXECUTIVE OFFICER)
(609) 396-2183
Entity
Organization

Contact information

Practice address
72 EWING ST, TRENTON, NJ 08609-1027
(609) 396-2183
(609) 695-5199
Mailing address
98 CARROLL ST, TRENTON, NJ 08609-1008
(609) 396-2183
(609) 695-5199

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000107
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092461
NJ
Enumeration date
03/11/2015
Last updated
05/20/2025
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