Ambrosia of New Jersey LLC
NPI #1194298976 in Medford, New Jersey
Provider Information
- NPI Number
- 1194298976
- Entity Type
- Organization
- Organization Name
- Ambrosia of New Jersey LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DISCOVERY PRACTICE MANAGEMENT, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 4, 2019
- Last Updated
- Jan 4, 2019
Practice Location
- Address
- 287 OLD MARLTON PIKE
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-8761
- Phone
- (561) 578-8600
Authorized Official
- Name
- WILLIAM BRADLEY COOPER
- Title
- CFO
- Phone
- (714) 947-7351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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| Ambrosia of Medford LLC Part of Ambrosia of Medford LLC |  AI Deep Dive |
| Ambrosia of Medford LLC Part of Discovery Practice Management, Inc. | AI Deep Dive |
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