Organization
SEACREST RECOVERY CENTER NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED PRUZAN (OWNER)
(954) 415-3608
Entity
Organization
Contact information
Practice address
162 N MAIN STREET, ROUTE 35, EATONTOWN, NJ 07724
(954) 415-3608
Mailing address
5300 ATLANTIC AVE STE 400, DELRAY BEACH, FL 33484-8141
(954) 415-3608
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
04/09/2025
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