person
Nicholas Stafford, CPRS
Substance Abuse Rehabilitation Facility in Pemberton, New Jersey
NPI 1700594488

Nicholas Stafford is a Substance Abuse Rehabilitation Facility based in Pemberton, NJ. Nicholas Stafford practices in Pemberton, NJ and has the professional credentials of CPRS. The NPI Number for Nicholas Stafford is 1700594488 and holds a License No. 1000140 (New Jersey).

The current practice location address for Nicholas Stafford is 610 Pemberton Browns Mills Rd, Pemberton, NJ and can be reached out via phone at 609-321-6269 and via fax at 609-283-0262.

Location: 610 Pemberton Browns Mills Rd, Pemberton, NJ, 08068-1537
person
Provider Profile Details
NPI Number
1700594488
Provider Name
Nicholas Stafford
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
610 Pemberton Browns Mills Rd, Pemberton, NJ, 08068-1537
Phone Number
609-321-6269
Fax Number
609-283-0262
Provider Enumeration Date
11/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000140 01 NJ SUBSTANCE ABUSE REHABILITATION FACILITY
institution
Provider Business Practice Location Address Details
Address
610 Pemberton Browns Mills Rd
City
State
Zip
08068-1537
Phone Number
609-321-6269
Fax Number
609-283-0262
person
Provider Business Mailing Address Details
Address
610 Pemberton Browns Mills Rd
City
State
Zip
08068-1537
Phone Number
609-321-6269
Fax Number
609-283-0262
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
1000140 (New Jersey)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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