SOUTH JERSEY DRUG TREATMENT CENTER NPI 1184833550

NPI Information

SOUTH JERSEY DRUG TREATMENT CENTER is a methadone clinic center in Bridgeton, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SOUTH JERSEY DRUG TREATMENT CENTER NPI is 1184833550. The provider is registered as an organization entity type.
The provider Other Name Is Sjdtc.

The provider's business location address is:

162 SUNNY SLOPE DR
BRIDGETON, NJ
ZIP 08302-457
Phone: (856) 455-5441
Fax: (856) 455-0505

The provider's authorized official is Dave Hughes .
The authorized official title is Executive Director and has the following contact phone number (856) 455-5441.

The CLIA number assigned to this NPI record is 31D2111881 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/1/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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