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Organization

BACK TO LIFE RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK FRANCIS WERNER (CEO)
(215) 370-3646
Entity
Organization

Contact information

Practice address
630 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(856) 547-1107
Mailing address
630 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(609) 228-8667

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
02/28/2023
Last updated
03/10/2025
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