Organization
5034 ATLANTIC AVENUE OPCO, LLC
Active
Other names
Recovery Centers of America at Lighthouse
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO CRUZ (CFO)
(610) 427-9434
Entity
Organization
Contact information
Practice address
RECOVERY CENTERS OF AMERICA AT LIGHTHOUSE, 5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(610) 427-9434
Mailing address
2201 RENAISSANCE BLVD FL 3, KING OF PRUSSIA, PA 19406-2709
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
10/17/2024
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