Organization · Type 2 NPI

Sovereign Health of New Jersey

Substance Abuse Rehabilitation Facility · Newark, NJ

NPI number 1386015204 Active

Practice location

495 N 13th St
Newark, NJ 07107-1317

Call (949) 276-5553 Map

Fax (949) 542-4586

Mailing address

1221 Puerta Del Sol, Suite 280
San Clemente, CA 92673-6308

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1386015204

Sovereign Health of New Jersey's National Provider Identifier is 1386015204, issued on Oct 19, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Newark, NJ. The record was last updated on Oct 19, 2015.