Organization
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE POOLEY (CFO)
(856) 475-1310
Entity
Organization
Contact information
Practice address
60 HIGH ST, MOUNT HOLLY, NJ 08060
(609) 265-7884
(609) 265-8449
Mailing address
919 BROADWAY, WESTVILLE, NJ 08093-1436
(856) 475-1310
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
301309
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441767
—
NJ
Enumeration date
08/08/2018
Last updated
10/18/2018
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