Organization
DELAWARE VALLEY MEDICAL, INC.
Active
Other names
Delaware Valley Medical, Inc. Blackwood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA VOORHIS BA, CADC, CCS (CHIEF EXECUTIVE DIRECTOR)
(856) 665-5100
Entity
Organization
Contact information
Practice address
300 WOODBURY TURNERSVILLE RD, BLACKWOOD, NJ 08012-2860
(856) 227-5254
(856) 665-5212
Mailing address
PO BOX 8697, COLLINGSWOOD, NJ 08108-8697
(856) 665-5100
(856) 665-5212
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
20000238-07
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
NJ
Enumeration date
04/07/2007
Last updated
08/22/2020
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