MARYVILLE, INC


Address: 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068
Phone: 6093216263

MARYVILLE, INC (NPI# 1306346325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306346325
Entity Type Organization
Organization Name MARYVILLE, INC
Other Organization Name MARYVILLE ADDICTION TREATMENT CENTER
Practice Address 610 Pemberton Browns Mills Rd
Pemberton
NJ 08068
Mailing Address 129 Johnson Rd Ste 7
Turnersville
NJ 08012-1777
Practice Telephone 6093216263
Practice Fax Number 6092830262
Mailing Telephone 8568633913
Enumeration Date 2018-02-16
Last Update Date 2018-08-01
Authorized Official Name MR. JARED LEVY (CFO)
Authorized Official Telephone 8568633913
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 1000140 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ STATE OF NEW JERSEY OFFICE OF LICENSING 1000140 01

Other Provider/Organization Names

Other Name Type Code
MARYVILLE ADDICTION TREATMENT CENTER Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205346574 Maryville, Inc Clinic/Center 1173 E Landis Ave, Vineland, NJ 08360 2017-10-02
1225262629 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012 2009-05-13
1619474780 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-06
1437655594 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-05
1457851107 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2018-02-20
1073023354 Maryville, Inc Substance Abuse Rehabilitation Facility 1903 Grant Ave, Williamstown, NJ 08094 2017-10-02
1922518299 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012-1777 2017-10-02
1780806083 Maryville, Inc Clinic/Center 707 N Main St, Glassboro, NJ 08028-1605 2007-05-03

Office Location

Street Address 610 PEMBERTON BROWNS MILLS RD
City PEMBERTON
State NJ
Zip Code 08068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154643500 Phyllis Glenn Anderson Nurse Practitioner 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2010-02-25
1710593579 Jeana Ann Simko Counselor 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2020-09-17
1457851107 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2018-02-20
1396128955 Legacy Treatment Services Clinic/Center 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2015-07-01
1881085637 Legacy Treatment Services Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2015-02-16
1962800367 Orin H Morrison Jr. Counselor 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2014-12-17
1790180438 Kevin Ford Counselor 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2014-10-23
1376944967 Union Association of The Children's Home of Burlington County, Inc. Clinic/Center 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2014-09-15
1881093920 Union Assocation of The Children's Home of Burlington County, Inc. Community/Behavioral Health 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2014-08-14
1902180037 The Kintock Group of New Jersey, Inc. Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2011-10-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366998502 Deena Gutch Counselor 610 Brownsmills Rd, Pemberton, NJ 08068 2016-08-28
1467738492 Exceptional Kidz Rehabilitation Counselor 43 Elizabeth St, Pemberton, NJ 08068 2011-10-21
1972716603 Ellen Christine Miller Occupational Therapy Assistant 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 2007-05-08
1720236631 Renuka Maringanti Dentist 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 2008-09-04
1053453076 Chitra Sarvotam Dentist 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 2007-02-13
1700182847 E Estrella Wells Student in an Organized Health Care Education/Training Program 50 Budd Ave, Pemberton, NJ 08068-1104 2011-02-08
1417339128 Jamie Reuter Behavioral Analyst 50 Budd Ave, Pemberton, NJ 08068-1104 2015-06-18
1710167614 Stephen Alan Kloss Pharmacist 87 Hanover St, Pemberton, NJ 08068-1131 2007-11-07
1639291248 Pemberton Township School District Local Education Agency (LEA) 1 Egbert St, Pemberton, NJ 08068-1211 2007-04-04
1851635791 Aspired Living, Inc Day Training, Developmentally Disabled Services 43 Elizabeth St, Pemberton, NJ 08068-1215 2012-11-15
Find all providers in zip 08068

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457851107 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2018-02-20
1881085637 Legacy Treatment Services Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2015-02-16
1902180037 The Kintock Group of New Jersey, Inc. Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2011-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467051367 Elev8 Centers of New Jersey Substance Abuse Rehabilitation Facility 20 Toler Pl, Newark, NJ 07114-1431 2020-10-21
1982218228 New Pathway Counseling Services Substance Abuse Rehabilitation Facility 20 Powers Dr, Paramus, NJ 07652-2911 2020-09-03
1790308708 John Brooks Recovery Center, A New Jersey Nonprofit Corporation Substance Abuse Rehabilitation Facility 1455 Pinewood Blvd, Mays Landing, NJ 08330 2020-05-26
1891318077 The Shore Detox LLC Substance Abuse Rehabilitation Facility 30 W Jimmie Leeds Rd, Galloway, NJ 08205-9421 2020-05-22
1619598968 Mountainside - Ramsey Substance Abuse Rehabilitation Facility 500 N Franklin Tpke Ste 304, Ramsey, NJ 07446-1160 2020-04-28
1184244691 Seabrook House, Inc. Substance Abuse Rehabilitation Facility 223 Polk Ln, Bridgeton, NJ 08302-5904 2020-04-24
1922628502 Seabrook House, Inc. Substance Abuse Rehabilitation Facility 101 Madison Ave Ste 205, Morristown, NJ 07960-7305 2020-04-23
1760002331 Seabrook House, Inc. Substance Abuse Rehabilitation Facility 1930 Marlton Pike E Ste O77, Cherry Hill, NJ 08003-4204 2020-04-23
1396376018 Cooper Center for Healing and Recovery, LLC Substance Abuse Rehabilitation Facility 761 Cuthbert Blvd, Cherry Hill, NJ 08002-3417 2020-01-31
1295395408 Coleman Addiction Medicine, P.C. Substance Abuse Rehabilitation Facility 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 2019-06-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City PEMBERTON
Zip Code 08068

Improve Information

Please comment or provide details below to improve the information on MARYVILLE, INC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches