Organization
COLLEGE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC GLASMAN (DIRECTOR)
(817) 806-9662
Entity
Organization
Contact information
Practice address
23 DUKE ST, NEW BRUNSWICK, NJ 08901-1738
(732) 402-0677
(732) 626-6797
Mailing address
104 BAYARD ST, SUITE 1, NEW BRUNSWICK, NJ 08901-2102
(917) 806-9662
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000153
DEPT OF HUMAN SERVICES
NJ
01
—
2000540
DEPT OF HUMAN SERVICES
NJ
Enumeration date
08/22/2014
Last updated
10/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us