Organization
MARYVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED LEVY (CFO)
(856) 863-3913
Entity
Organization
Contact information
Practice address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012
(856) 863-3913
(856) 863-3917
Mailing address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012-1777
(856) 863-3913
(856) 863-3917
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
20000132
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185736
—
NJ
Enumeration date
05/13/2009
Last updated
06/12/2025
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