| NPI | 1073023354 |
|---|---|
| Other Name | MARYVILLE ADDICTION TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JARED LEVY CFO 856-863-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000028) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-08-01 |