Organization
ADDICTION TREATMENT SERVICES INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL WILLIAMS PH.D, LCADC (EXECUTIVE DIRECTOR)
(609) 910-2634
Entity
Organization
Contact information
Practice address
4 EAST JIMMIE LEEDS RD, SUITE #9, GALLOWAY, NJ 08205
(609) 498-6009
(609) 241-6573
Mailing address
4 EAST JIMMIE LEEDS RD, SUITE #9, GALLOWAY, NJ 08205
(609) 498-6009
(609) 241-6573
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599930
—
NJ
Enumeration date
12/18/2013
Last updated
03/04/2020
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