5034 Atlantic Avenue Opco, LLC
NPI #1841757846 in South Amboy, New Jersey
Provider Information
- NPI Number
- 1841757846
- Entity Type
- Organization
- Organization Name
- 5034 Atlantic Avenue Opco, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 26, 2019
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 901 ERNSTON RD
- City
- South Amboy
- State
- New Jersey
- ZIP Code
- 08879-2000
- Phone
- (732) 585-1815
Authorized Official
- Name
- SERGE CRUZ
- Title
- CFO
- Phone
- (610) 427-9434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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