Recovery Center of South Jersey

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECOVERY CENTER OF SOUTH JERSEY

Practice address

20 Medford LN
Willingboro, NJ 08046-3121

Phone

(856) 496-3641

NPI assigned

Aug 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Momoh Cooper

Title

Ceo

Phone

(856) 496-3641

Specialties & licenses 1

Addresses

Other names 1

• Recovery Center of South Jersey Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1336973916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463121",
            "telephone_number": "856-496-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463121",
            "telephone_number": "856-496-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MOMOH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-496-3641"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Center of South Jersey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.