Organization
SANCTUARY AT LAKE ARIEL LLC
Active
Other names
Lake Ariel Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE IMBURGIO (CEO)
(347) 213-1473
Entity
Organization
Contact information
Practice address
50 INDUSTRIAL PARK RD, LAKE ARIEL, PA 18436-5606
(570) 258-8099
Mailing address
800 KINGS HWY N STE 100, CHERRY HILL, NJ 08034-1585
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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