Organization
PATHWAYS TO SERENITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY B. RICCOBONO LCADC (OWNER/OPERATOR)
(609) 242-9500
Entity
Organization
Contact information
Practice address
500 MAIN ST STE 2, SUITE 1, LANOKA HARBOR, NJ 08734-2228
(609) 242-9500
(609) 242-9502
Mailing address
500 MAIN ST STE 2, SUITE 1, LANOKA HARBOR, NJ 08734-2228
(609) 242-9500
(609) 242-9502
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
37LC00187200
NJ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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