Organization · Type 2 NPI
Elmlifelines
Substance Use Disorder Rehabilitation Clinic/Center · Medford, NJ
NPI number
1184743403
Active
Practice location
23 S Main St
Medford, NJ 08055-2444
Fax (609) 953-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 22484 (NJ) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1184743403
Elmlifelines's National Provider Identifier is 1184743403, issued on Mar 28, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Medford, NJ. The record was last updated on Aug 22, 2020.