BEHAVIORAL CROSSROADS RECOVERY LLC NPI 1578873386

NPI Information

NPI: 1578873386
Provider Name: BEHAVIORAL CROSSROADS RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 31D2234927

Address:
205 WEST PARKWAY DRIVE
SUITE 2
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 645-2500
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BEHAVIORAL CROSSROADS RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Egg Harbor Township, NJ. BEHAVIORAL CROSSROADS RECOVERY LLC NPI is 1578873386. The provider is registered as an organization entity type.

The provider's business location address is:

205 WEST PARKWAY DRIVE
SUITE 2
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 645-2500
Fax: (609) 642-4373

The provider's authorized official is Yisroel Shlomo Greenzweig .
The authorized official title is Ceo and has the following contact phone number (609) 645-2500.

The CLIA number assigned to this NPI record is 31D2234927 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 4/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0246093	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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