Organization
AMBROSIA OF NEW JERSEY LLC
Active
Parent organization
DISCOVERY PRACTICE MANAGEMENT, INC
Other names
Pinelands Recovery Center of Medford
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISCOVERY PRACTICE MANAGEMENT, INC
Authorized official
WILLIAM BRADLEY COOPER (CFO)
(714) 947-7351
Entity
Organization
Contact information
Practice address
287 OLD MARLTON PIKE, MEDFORD, NJ 08055-8761
(561) 578-8600
Mailing address
4821 KATELLA AVE, SUITE 111, LOS ALAMITOS, CA 90720
(714) 828-1800
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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