Ambrosia of Medford LLC
NPI #1174117964 in Medford, New Jersey
Provider Information
- NPI Number
- 1174117964
- Entity Type
- Organization
- Organization Name
- Ambrosia of Medford LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMBROSIA OF MEDFORD LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 23, 2021
- Last Updated
- May 8, 2023
Practice Location
- Address
- 285 OLD MARLTON PIKE
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-8761
- Phone
- (714) 828-1800
Authorized Official
- Name
- MAGDALEN GUSTILO
- Title
- DIRECTOR OF PAYER RELATIONS
- Phone
- (714) 568-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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