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MILESTONE ADDICTION TREATMENT LLC NPI 1023577731


NPI Information

NPI: 1023577731
Provider Name: MILESTONE ADDICTION TREATMENT LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 31D2182193

Address:
1 S CENTRE ST
MERCHANTVILLE, NJ
ZIP 08109
Phone: (856) 816-0728
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MILESTONE ADDICTION TREATMENT LLC is a substance abuse rehabilitation facility in Merchantville, NJ. The provider is 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. MILESTONE ADDICTION TREATMENT LLC NPI is 1023577731. The provider is registered as an organization entity type.

The provider's business location address is:

1 S CENTRE ST
MERCHANTVILLE, NJ
ZIP 08109-213
Phone: (856) 816-0728

The provider's authorized official is Jason Gooberman .
The authorized official title is Ceo and has the following contact phone number (856) 449-6159.

The CLIA number assigned to this NPI record is 31D2182193 - other - addiction treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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