Organization
JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PALLIES (CFO)
(609) 345-2020
Entity
Organization
Contact information
Practice address
660 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232
(609) 345-2020
Mailing address
660 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232
(609) 345-2020
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2000275
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101702
—
NJ
01
—
7620608
WFNJ PROVIDER NO
NJ
Enumeration date
03/22/2007
Last updated
07/21/2022
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