Organization
JOHN BROOKS RECOVERY CENTER, A NEW JERSEY NON-PROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS HACKER (CFO/COO)
(609) 345-2020
Entity
Organization
Contact information
Practice address
1931 BACHARACH BLVD, ATLANTIC CITY, NJ 08401
(609) 345-2020
(609) 646-7027
Mailing address
660 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232
(609) 345-2020
(609) 646-7027
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2000466
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101702
—
NJ
Enumeration date
08/28/2016
Last updated
02/18/2020
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