Stanford Ctc Services, LLC
NPI #1699247635 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1699247635
- Entity Type
- Organization
- Organization Name
- Stanford Ctc Services, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 31, 2018
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 141 S BLACK HORSE PIKE STE 204
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-2975
- Phone
- (856) 302-6437
Authorized Official
- Name
- MR. LEROY STANFORD JR., LCADC
- Title
- CEO
- Phone
- (856) 302-6437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Substance Abuse Rehabilitation Facility |
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