Organization
RECOVERY CENTERS OF AMERICA AT MANAHAWKIN NJ MEDICAID ONLY
Active
Parent organization
TRC-OC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRC-OC LLC
Authorized official
KEVIN MCCLURE (CFO)
(610) 994-2900
Entity
Organization
Contact information
Practice address
400 N MAIN ST STE 2, MANAHAWKIN, NJ 08050-3730
(610) 994-2900
Mailing address
2201 RENAISSANCE BLVD FL 3, KING OF PRUSSIA, PA 19406-2709
(610) 994-2900
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
02/09/2023
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