Organization
MERCHANTVILLE ADDICTION TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GOOBERMAN (CEO)
(856) 449-6159
Entity
Organization
Contact information
Practice address
1 S CENTRE ST, MERCHANTVILLE, NJ 08109-2213
(800) 663-5548
Mailing address
1 S CENTRE ST, MERCHANTVILLE, NJ 08109-2213
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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