Organization
COMMUNITY RECOVERY SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIYA BARAKA LPC, LCADC (EXECUTIVE DIRECTOR/OWNER)
(973) 698-2364
Entity
Organization
Contact information
Practice address
23 GREEN TWIG DR, TOMS RIVER, NJ 08753-6846
(973) 449-1988
Mailing address
76 OAKMONT LN, JACKSON, NJ 08527-4008
(973) 449-1988
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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