Organization
LEADING EDGE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM BEVELL (CEO)
(877) 537-5372
Entity
Organization
Contact information
Practice address
1777 KLOCKNER RD, HAMILTON, NJ 08619-2725
(561) 577-3174
Mailing address
1777 KLOCKNER RD, HAMILTON, NJ 08619-2725
(561) 577-3174
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2000340-10
NJ
Other
Enumeration date
03/15/2010
Last updated
08/12/2011
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