Organization · Type 2 NPI

Ambrosia of Medford LLC

Substance Abuse Rehabilitation Facility · Medford, NJ

NPI number 1770055428 Active

Practice location

283 Old Marlton Pike
Medford, NJ 08055-8761

Call (714) 828-1800 Map

Fax (714) 882-1186

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531

Other practice locations

285 Old Marlton Pike, Medford, NJ 08055-8761 · (714) 828-1800

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None 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.

Other substance abuse rehabilitation facility providers in Medford

See all in Medford →

NPI record

NPI: 1770055428
Entity type: Organization (Type 2)
Issued: Dec 19, 2018
Last updated: May 8, 2023
Status: Active
Subpart: Yes of Discovery Practice Management, Inc.

Other names

<unavail>
Pinelands Recovery Center of Medford · doing business as

Authorized official

Magdalen Gustilo
Director of Payer Relations
(714) 568-7667

Verify this record

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.

Is this your record? How to update it.

About NPI 1770055428

Ambrosia of Medford LLC's National Provider Identifier is 1770055428, issued on Dec 19, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Medford, NJ. The record was last updated on May 8, 2023.