Organization
POST HOUSE-COUNTY OF BURLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTUS M. MOSCA (COUNTY ADMINISTRATOR)
(609) 265-5020
Entity
Organization
Contact information
Practice address
610 PEMBERTON BROWNS MILLS ROAD, NEW LISBON, NJ 08064
(609) 726-7155
(609) 894-8964
Mailing address
610 PEMBERTON BROWNS MILLS ROAD, NEW LISBON, NJ 08064
(609) 726-7155
(609) 894-8964
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
80360
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100511
NUMBER ISSUED BY NEW JERS
NJ
Enumeration date
05/15/2007
Last updated
08/22/2020
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