Active NPIOrganization

Maryville, INC

Substance Abuse Rehabilitation Facility in Pemberton, New Jersey

NPI Number1457851107
Practice location
610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
Fax
609-283-0262
Last updated
October 30, 2026

Maryville, INC is a healthcare organization based in Pemberton, NJ. Maryville, INC practices in Pemberton, NJ. The NPI Number for Maryville, INC is 1457851107 and holds a License No. 1000140 (NJ). The current practice location address for Maryville, INC is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537 and can be reached out via phone at 609-321-6263 and via fax at 609-283-0262.

Provider Profile Details

NPI Number
1457851107
Provider Name
Maryville, INC
Provider Entity Type
Organization
Address
610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
Phone Number
609-321-6263
Fax Number
609-283-0262
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Veronica J Gadden · Billing Supervisor · 856-863-3913
Other Names
Mryville Addiction Treatment Center (Other Name)
Provider Enumeration Date
February 20, 2018
Last Update Date
October 30, 2026
Certification Date
October 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Pemberton Browns Mills RD
Pemberton, NJ 08068-1537
Zip
08068-1537
Phone Number
609-321-6263
Fax Number
609-283-0262
Pemberton, NJ 08068Get 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
Fax Number
856-227-6499

License Information

Taxonomy (1)
Community/Behavioral Health · 251S00000X
License Number (2)
1000140
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 1457851107. It was assigned on February 20, 2018 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 1000140.

Where does Maryville, INC practice?

The practice location is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537. The office can be reached at 609-321-6263 (phone) or 609-283-0262 (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 1457851107 directly on the NPPES registry website.

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