Organization
TRIBE INTENSIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MAGUIRE (OWNER)
(856) 267-5699
Entity
Organization
Contact information
Practice address
46 S MAPLE AVE, MARLTON, NJ 08053-2002
(856) 267-5699
Mailing address
46 S MAPLE AVE, MARLTON, NJ 08053-2002
(856) 267-5699
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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