Organization
PINNACLE TREATMENT CENTERS NJ-II LLC
Active
Parent organization
PINNACLE TREATMENT CENTERS, INC.
Other names
Stateline Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE TREATMENT CENTERS, INC.
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
590 MARSHALL ST, PHILLIPSBURG, NJ 08865-2629
(908) 387-0003
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159774
—
NJ
Enumeration date
07/05/2017
Last updated
04/26/2022
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