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Organization

JOHN BROOKS RECOVERY CENTER, A NEW JERSEY NON-PROFIT CORPORATION

Active
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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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