Organization
MARYVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED LEVY (CFO)
(856) 863-3913
Entity
Organization
Contact information
Practice address
1907 NEW RD, NORTHFIELD, NJ 08225
(856) 690-1000
(856) 629-3760
Mailing address
129 JOHNSON RD STE 8, TURNERSVILLE, NJ 08012-1777
(856) 863-3913
(856) 227-6499
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000680
NJ
Other
Enumeration date
04/06/2018
Last updated
08/01/2018
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