Organization · Type 2 NPI

Stanford CTC Services, LLC

Substance Abuse Rehabilitation Facility · Blackwood, NJ

NPI number 1699247635 Active

Practice location

141 S Black Horse Pike Ste 204
Blackwood, NJ 08012-2975

Fax (856) 302-5532

Mailing address

24 Patricia Ln
Sicklerville, NJ 08081-1810

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
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 1699247635

Stanford CTC Services, LLC's National Provider Identifier is 1699247635, issued on Dec 31, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Blackwood, NJ. The record was last updated on Sep 18, 2020.