KINGSWAY RECOVERY LLC NPI 1639697782

NPI Information

NPI: 1639697782
Provider Name: KINGSWAY RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
124 BRIDGETON PIKE
MULLICA HILL, NJ
ZIP 08062
Phone: (856) 217-9182
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KINGSWAY RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Mullica Hill, NJ. KINGSWAY RECOVERY LLC NPI is 1639697782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 BRIDGETON PIKE
MULLICA HILL, NJ
ZIP 08062
Phone: (856) 217-9182

The provider's authorized official is Nicholas Desimone .
The authorized official title is Founder/ceo and has the following contact phone number (856) 217-9182.

The enumeration date for this NPI number is 9/8/2017 and was last updated on 9/21/2018.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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: 4/28/2024

NPI Synchronization or Removal

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