Organization
AMBROSIA OF MEDFORD LLC
Active
Parent organization
AMBROSIA OF MEDFORD LLC
Other names
Pinelands Recovery Center of Medford
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBROSIA OF MEDFORD LLC
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
285 OLD MARLTON PIKE, MEDFORD, NJ 08055-8761
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
05/08/2023
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