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Casey Moss
Substance Abuse Rehabilitation Facility in Pemberton, New Jersey
NPI 1902511223

Casey Moss is a Substance Abuse Rehabilitation Facility based in Pemberton, NJ. Casey Moss practices in Pemberton, NJ. The NPI Number for Casey Moss is 1902511223 and holds a License No. 1000140 (New Jersey).

The current practice location address for Casey Moss is 610 Pemberton Browns Mills Rd, Pemberton, NJ and can be reached out via phone at 609-519-1816 and via fax at 609-283-0262.

Location: 610 Pemberton Browns Mills Rd, Pemberton, NJ, 08068-1537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902511223
Provider Name
Casey Moss
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 Pemberton Browns Mills Rd, Pemberton, NJ, 08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262
Provider Enumeration Date
01/20/2023
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
Pemberton
State
New Jersey
Zip
08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262
person
Provider Business Mailing Address Details
Address
610 Pemberton Browns Mills Rd
City
Pemberton
State
New Jersey
Zip
08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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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