SOUTH AMBOY HEALTH CENTER LLC is a methadone clinic center in South Amboy, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SOUTH AMBOY HEALTH CENTER LLC NPI is 1801414024. The provider is registered as an organization entity type.
The provider's business location address is:
1 MAIN ST
SOUTH AMBOY, NJ
ZIP 08879-142
Phone: (908) 258-8765
The provider's authorized official is John Macevoy .
The authorized official title is Owner and has the following contact phone number (973) 809-8279.
The CLIA number assigned to this NPI record is 31D2208740 - other - opiate treatment program with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.