Organization
AMBROSIA OF MEDFORD LLC
Active
Parent organization
DISCOVERY PRACTICE MANAGEMENT, INC.
Other names
Pinelands Recovery Center of Medford
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISCOVERY PRACTICE MANAGEMENT, INC.
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
283 OLD MARLTON PIKE, MEDFORD, NJ 08055-8761
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
05/08/2023
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