MARYVILLE INC NPI 1922518299

NPI Information

  • NPI: 1922518299
  • Provider Name: MARYVILLE, INC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: MARYVILLE ADDICTION TREATMENT CENTER
  • Address: 129 JOHNSON RD STE 7
    TURNERSVILLE, NJ
    ZIP 08012
  • Phone: (856) 863-3913

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NPI Details

MARYVILLE, INC is a rehabilitation and substance use disorder clinic center in Turnersville, NJ. MARYVILLE, INC NPI is 1922518299. The provider is registered as an organization entity type.
The provider Other Name Is Maryville Addiction Treatment Center.

The provider's business location address is:

129 JOHNSON RD STE 7
TURNERSVILLE, NJ
ZIP 08012-777
Phone: (856) 863-3913
Fax: (856) 863-3917

The provider's authorized official is Veonica Gadden .
The authorized official title is Billing Supervisor and has the following contact phone number (856) 863-3913.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder2000132NEW JERSEYYes

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
10185485MEDICAIDNEW 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: 3/30/2025

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