BODHI AWAKEN TO RECOVERY LLC NPI 1992106249

NPI Information

NPI: 1992106249
Provider Name: BODHI AWAKEN TO RECOVERY, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1466 HOOPER AVE
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 443-7324
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BODHI AWAKEN TO RECOVERY, LLC is an addiction (substance use disorder) counselor in Toms River, NJ. BODHI AWAKEN TO RECOVERY, LLC NPI is 1992106249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1466 HOOPER AVE
TOMS RIVER, NJ
ZIP 08753-892
Phone: (732) 443-7324

The provider's authorized official is Jason Wheeler .
The authorized official title is Account Manager and has the following contact phone number (954) 802-9568.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 9/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	44SW01474300	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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