Active NPIOrganization

Maryville, INC

Substance Abuse Rehabilitation Facility in Williamstown, New Jersey

NPI Number1073023354
Practice location
1903 Grant Ave, Williamstown, NJ 08094
Fax
856-629-3760
Last updated
October 30, 2026

Maryville, INC is a healthcare organization based in Williamstown, NJ. Maryville, INC practices in Williamstown, NJ. The NPI Number for Maryville, INC is 1073023354 and holds a License No. 1000028 (NJ). The current practice location address for Maryville, INC is 1903 Grant Ave, Williamstown, NJ 08094 and can be reached out via phone at 856-629-0244 and via fax at 856-629-3760.

Provider Profile Details

NPI Number
1073023354
Provider Name
Maryville, INC
Provider Entity Type
Organization
Address
1903 Grant Ave, Williamstown, NJ 08094
Phone Number
856-629-0244
Fax Number
856-629-3760
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Mr. Jared Levy · Cfo · 856-863-3913
Other Names
Maryville Addiction Treatment Center (Other Name)
Provider Enumeration Date
October 2, 2017
Last Update Date
October 30, 2026
Certification Date
October 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1903 Grant Ave
Williamstown, NJ 08094
Zip
08094
Phone Number
856-629-0244
Fax Number
856-629-3760
Williamstown, NJ 08094Get directions →

Provider Business Mailing Address Details

Address
129 Johnson RD Ste 7
Turnersville, NJ 08012-1777
City
Turnersville
State
NJ
Zip
08012-1777
Phone Number
856-863-3913

License Information

Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
1000028
License State (2)
NJ
Taxonomy (2)
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryville, INC?

The NPI number of Maryville, INC is 1073023354. It was assigned on October 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Maryville, INC?

Maryville, INC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in NJ under license number 1000028.

Where does Maryville, INC practice?

The practice location is 1903 Grant Ave, Williamstown, NJ 08094. The office can be reached at 856-629-0244 (phone) or 856-629-3760 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073023354 directly on the NPPES registry website.

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