Organization · Type 2 NPI

South Jersey Drug Treatment Center

Methadone Clinic · Bridgeton, NJ

NPI number 1184833550 Active

Practice location

162 Sunny Slope Dr
Bridgeton, NJ 08302-5732

Call (856) 455-5441 Map

Fax (856) 455-0505

Mailing address

PO Box 867
Bridgeton, NJ 08302-0457

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	22415 (NJ)

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Another provider at this address

Myangel A. DavisAddiction (Substance Use Disorder) Counselor Bridgeton, NJ NPI 1083482509

NPI record

NPI: 1184833550
Entity type: Organization (Type 2)
Issued: May 22, 2007
Last updated: Jan 8, 2025
Status: Active

Other names

<unavail>
South Jersey Drug Treatment Center · doing business as
Sjdtc · other name
Sjdtc · other name
South Jersey Drug Treatment · other name

Authorized official

Mrs. Mary I Reimer, LPC, LCADC, ACS, CCS
Executive Director
(609) 805-2986

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184833550

South Jersey Drug Treatment Center's National Provider Identifier is 1184833550, issued on May 22, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Bridgeton, NJ. The record was last updated on Jan 8, 2025.