Maryville, INC
NPI #1457851107 in Pemberton, New Jersey
Provider Information
- NPI Number
- 1457851107
- Entity Type
- Organization
- Organization Name
- Maryville, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Feb 20, 2018
Practice Location
- Address
- 610 PEMBERTON BROWNS MILLS RD
- City
- Pemberton
- State
- New Jersey
- ZIP Code
- 08068-1537
- Phone
- (609) 321-6263
Authorized Official
- Name
- VERONICA J GADDEN
- Title
- BILLING SUPERVISOR
- Phone
- (856) 863-3913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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| Nicole M Storer, CPRS | |
| Nicholas Stafford, CPRS | |
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Organizations
| Provider Name | |
|---|---|
| Maryville, INC | |
| Legacy Treatment Services |
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