KEYSTONE RECOVERY CENTER INC NPI 1275980161

NPI Information

KEYSTONE RECOVERY CENTER INC is a substance abuse rehabilitation facility in Woodland Park, 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. KEYSTONE RECOVERY CENTER INC NPI is 1275980161. The provider is registered as an organization entity type.

The provider's business location address is:

482 NOTCH RD
WOODLAND PARK, NJ
ZIP 07424-922
Phone: (973) 298-5776

The provider's authorized official is Brian Gamarello .
The authorized official title is Executive Director and has the following contact phone number (973) 298-5776.

The CLIA number assigned to this NPI record is 31D2123539 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 1/23/2017.

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:

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