NPIMap

Organization Active NPI

Services to Overcome Drug Abuse Among Teenagers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bridgeton, NJ
National Provider Identifier
1740765916
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Practice address
92-94 Vine St
Bridgeton, NJ 08302-2444
Phone
(856) 453-5713
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Denise Pooley
Title
Cfo
Phone
(856) 475-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

92-94 Vine St
Bridgeton, NJ 08302-2444

Mailing address

919 Broadway
Westville, NJ 08093
Phone (856) 475-1310

Other identifiers 1

IdentifierTypeStateIssuer
0459011OtherNJSAI

Other names 1

  • SODAT of NJ, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Services to Overcome Drug Abuse Among Teenagers Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1740765916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 BROADWAY",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "08093",
            "telephone_number": "856-475-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-94 VINE ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022444",
            "telephone_number": "856-453-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "POOLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-475-1310"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAI",
            "identifier": "0459011",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SODAT of NJ, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.