MARYVILLE, INC (NPI# 1780806083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780806083 |
| Entity Type | Organization |
| Organization Name | MARYVILLE, INC |
| Practice Address |
707 N Main St Glassboro NJ 08028-1605 |
| Practice Telephone | 8568633913 |
| Practice Fax Number | 8568633917 |
| Mailing Telephone | 8568633913 |
| Mailing Fax Number | 8568633917 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | MR. JAMES O'BRIEN (CEO) |
| Authorized Official Telephone | 8562272717 |
| Authorized Official Credential | MSW, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
23032 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7632304 | 05 |
| 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 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 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 |
| Street Address |
707 N MAIN ST |
| City | GLASSBORO |
| State | NJ |
| Zip Code | 08028-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487102778 | Cornerstone Foot & Ankle | Podiatrist | 707 N Main St, Glassboro, NJ 08028-1605 | 2016-09-14 |
| 1376908400 | Happy Healthy You Family Medicine, PC | Family Medicine | 707 N Main St, Glassboro, NJ 08028-1605 | 2015-12-16 |
| 1396003554 | Brittany Ashley Gray | Physical Therapist | 707 N Main St, Suite 1, Glassboro, NJ 08028-1605 | 2012-04-25 |
| 1487942702 | Kelliann Gallagher | Physical Therapist | 707 N Main St, Glassboro, NJ 08028-1605 | 2011-07-20 |
| 1265740161 | Charles Alden Moore | Physical Therapist | 707 N Main St, Glassboro, NJ 08028-1605 | 2010-09-14 |
| 1457420440 | Armand W Dethomas Jr. | Physical Therapist | 707 N Main St, Glassboro, NJ 08028-1605 | 2006-11-06 |
| 1548237365 | Megan P Mclaughlin | Physical Therapist | 707 N Main St, Glassboro, NJ 08028-1605 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
| 1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
| 1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
| 1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
| 1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
| 1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
| 1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
| 1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
| Find all providers in zip 08028 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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| 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.