Organization
MARYVILLE, INC
Active
Organization
MARYVILLE, INC
Active
Other names
MARYVILLE ADDICTION TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
VEONICA GADDEN (BILLING SUPERVISOR)
(856) 863-3913
Entity
Organization
Contact information
Practice address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012-1777
(856) 863-3913
(856) 863-3917
Mailing address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012-1777
(856) 863-3913
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000132
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185485
—
NJ
Enumeration date
10/02/2017
Last updated
06/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up