Organization
JSAS HEALTHCARE, INC.
Active
Other names
Jersey Shore Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VILLARI MS (DEPUTY EXECUTIVE/COO)
(732) 988-8877
Entity
Organization
Contact information
Practice address
685 NEPTUNE BLVD, SUITE 101, NEPTUNE, NJ 07753-4118
(732) 988-8877
(732) 988-2572
Mailing address
685 NEPTUNE BLVD, SUITE 101, NEPTUNE, NJ 07753-4118
(732) 988-8877
(732) 988-2572
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
41340
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102806
—
NJ
05
—
7632801
—
NJ
Enumeration date
09/13/2005
Last updated
10/24/2023
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