Stanford Ctc Services, LLC
Substance Abuse Rehabilitation Facility in Blackwood, New Jersey
1699247635- Practice location
- 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975
- Phone
- 856-302-6437
- Fax
- 856-302-5532
- Last updated
- September 18, 2020
Stanford Ctc Services, LLC is a healthcare organization based in Blackwood, NJ. Stanford Ctc Services, LLC practices in Blackwood, NJ. The NPI Number for Stanford Ctc Services, LLC is 1699247635. The current practice location address for Stanford Ctc Services, LLC is 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 and can be reached out via phone at 856-302-6437 and via fax at 856-302-5532.
Provider Profile Details
- NPI Number
- 1699247635
- Provider Name
- Stanford Ctc Services, LLC
- Provider Entity Type
- Organization
- Address
- 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975
- Phone Number
- 856-302-6437
- Fax Number
- 856-302-5532
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Mr. Leroy Stanford, LCADC · Ceo · 856-302-6437
- Provider Enumeration Date
- December 31, 2018
- Last Update Date
- September 18, 2020
- Certification Date
- September 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 S Black Horse Pike Ste 204
Blackwood, NJ 08012-2975 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2975
- Phone Number
- 856-302-6437
- Fax Number
- 856-302-5532
Provider Business Mailing Address Details
- Address
- 24 Patricia Ln
Sicklerville, NJ 08081-1810 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-1810
- Phone Number
- 856-728-6029
- Fax Number
- 856-302-5532
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Stanford Ctc Services, LLC?
The NPI number of Stanford Ctc Services, LLC is 1699247635. It was assigned on December 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Stanford Ctc Services, LLC?
Stanford Ctc Services, LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Stanford Ctc Services, LLC practice?
The practice location is 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975. The office can be reached at 856-302-6437 (phone) or 856-302-5532 (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 1699247635 directly on the NPPES registry website.