| NPI | 1922518299 |
|---|---|
| Other Name | MARYVILLE ADDICTION TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | VEONICA GADDEN Billing Supervisor 856-863-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000132) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |