Organization
EXCEL TREATMENT CENTER OF RANDOLPH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY POLITO (CEO)
(973) 879-3076
Entity
Organization
Contact information
Practice address
477 ROUTE 10 E, SUITE 206, RANDOLPH, NJ 07869-2142
(973) 879-3076
Mailing address
477 ROUTE 10 E, SUITE 206, RANDOLPH, NJ 07869-2142
(973) 879-3076
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000470
NJ
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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