Organization Name: | PINNACLE TREATMENT CENTERS NJ III LLC |
NPI Number: | 1376712786 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEN KESSLER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 7980 S Crescent Boulevard Pennsauken |
State: | NJ US |
Postal Code: | 08109 |
Phone Number: | 8566655100 |
Fax Number: | 8566655243 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Methadone Clinic |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |