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ENLIGHTENED SOLUTIONS DETOX LLC NPI 1326554882


NPI Information

NPI: 1326554882
Provider Name: ENLIGHTENED SOLUTIONS DETOX LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 31D2142652

Address:
1501 N ALBANY AVE
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 270-4006
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ENLIGHTENED SOLUTIONS DETOX LLC is a substance abuse rehabilitation facility in Atlantic City, 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. ENLIGHTENED SOLUTIONS DETOX LLC NPI is 1326554882. The provider is registered as an organization entity type.

The provider's business location address is:

1501 N ALBANY AVE
ATLANTIC CITY, NJ
ZIP 08401-209
Phone: (609) 270-4006

The provider's authorized official is Carrie M Angelo .
The authorized official title is Reimbursement Manager and has the following contact phone number (609) 270-4006.

The CLIA number assigned to this NPI record is 31D2142652 - other - substance abuse detox tre with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.


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:

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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