| Garden State Treatment Center Llc | |
|
350 Sparta Ave Ste A-201 Sparta NJ 07871 | |
| (561) 818-9901 | |
| (954) 372-6992 |
| Full Name | Garden State Treatment Center Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 350 Sparta Ave Ste A-201, Sparta, New Jersey |
| Authorized Official Name and Position | Jesse M Reuter (CEO) |
| Authorized Official Contact | 5618189901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Treatment Center Llc 270 Sparta Ave Ste 104 Sparta NJ 07871-1122 Ph: () - | Garden State Treatment Center Llc 350 Sparta Ave Ste A-201 Sparta NJ 07871 Ph: (561) 818-9901 |
| NPI Number | 1548751258 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548751258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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