Organization
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Active
Other names
SODAT of NJ, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE POOLEY (CFO)
(856) 475-1310
Entity
Organization
Contact information
Practice address
92-94 VINE ST, BRIDGETON, NJ 08302-2444
(856) 453-5713
(856) 453-5715
Mailing address
919 BROADWAY, WESTVILLE, NJ 08093-1436
(856) 475-1310
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
301309
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315729
—
NJ
Enumeration date
08/17/2018
Last updated
10/18/2018
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