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5034 Atlantic Avenue Opco, Llc
Substance Abuse Rehabilitation Facility in South Amboy, New Jersey
NPI 1841757846

5034 Atlantic Avenue Opco, Llc is a Substance Abuse Rehabilitation Facility based in King Of Prussia, NJ. 5034 Atlantic Avenue Opco, Llc practices in South Amboy, NJ. The NPI Number for 5034 Atlantic Avenue Opco, Llc is 1841757846 and holds a License No. (New Jersey).

The current practice location address for 5034 Atlantic Avenue Opco, Llc is 901 Ernston Rd, South Amboy, NJ and can be reached out via phone at 610-994-2968.

Location: 901 Ernston Rd, South Amboy, NJ, 19406-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841757846
Provider Name
5034 Atlantic Avenue Opco, Llc
Credential
Provider Entity Type
Organization
Address
901 Ernston Rd, South Amboy, NJ, 19406-2709
Phone Number
610-994-2968
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
901 Ernston Rd
City
South Amboy
State
New Jersey
Zip
08879-2000
Phone Number
610-994-2968
Fax Number
person
Provider Business Mailing Address Details
Address
901 Ernston Rd
City
South Amboy
State
New Jersey
Zip
08879-2000
Phone Number
610-994-2968
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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