Organization
BEACHWAY NEW JERSEY LLC
Active
Organization
BEACHWAY NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED TURNER (BILLING MANAGER)
(772) 812-9652
Entity
Organization
Contact information
Practice address
4 PRINCESS RD STE 208, LAWRENCEVILLE, NJ 08648-2322
(772) 812-9652
(833) 535-0164
Mailing address
1700 N DIXIE HWY, WEST PALM BEACH, FL 33407-6504
(772) 812-9652
(833) 535-0164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
04/16/2025
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