Organization
PINNACLE TREATMENT CENTERS NJ-I, LLC
Active
Other names
Lacey Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
411 US HIGHWAY 9 STE 1, LANOKA HARBOR, NJ 08734-2818
(609) 357-4428
(609) 549-3972
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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