Organization
5034 ATLANTIC AVENUE OPCO, LLC
Active
Other names
Recovery Centers of America at Raritan Bay
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE CRUZ (CFO)
(610) 427-9434
Entity
Organization
Contact information
Practice address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
(732) 585-1815
Mailing address
2201 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2709
(610) 994-2900
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
12/18/2024
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