ANOTHER DOOR OPENS RECOVERY CENTER NPI 1669736757

NPI Information

NPI: 1669736757
Provider Name: ANOTHER DOOR OPENS RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 31D2163638

Address:
700 S CLINTON AVE
TRENTON, NJ
ZIP 08611
Phone: (609) 393-1219
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ANOTHER DOOR OPENS RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Trenton, NJ. ANOTHER DOOR OPENS RECOVERY CENTER NPI is 1669736757. The provider is registered as an organization entity type.

The provider's business location address is:

700 S CLINTON AVE
TRENTON, NJ
ZIP 08611-916
Phone: (609) 393-1219
Fax: (609) 393-1246

The provider's authorized official is Annetta Doris Patterson .
The authorized official title is Ceo and has the following contact phone number (856) 900-2115.

The CLIA number assigned to this NPI record is 31D2163638 - comp. outpatient rehab facility with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/3/2012 and was last updated on 12/5/2019.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	200043812	NEW JERSEY	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	200043812	NEW JERSEY	Yes
3	324500000X	Substance Abuse Rehabilitation Facility				No

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0305456	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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