ANTHONY DEFAZIO, LCADC LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Wall, NJ. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ANTHONY DEFAZIO, LCADC LLC NPI is 1578345914. The provider is registered as an organization entity type.
The provider's business location address is:
1540 RTE 138 STE 201
WALL, NJ
ZIP 07719-765
Phone: (732) 984-1263
Fax: (732) 515-9159
The provider's authorized official is Anthony J Defazio .
The authorized official title is Owner and has the following contact phone number (173) 298-4126.
The enumeration date for this NPI number is 10/19/2023 and was last updated on 10/19/2023.