Maryville, Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Turnersville, NJ
NPI 1922518299 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1922518299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 2000132 (NJ)
- Legal business name
- MARYVILLE, INC
- Practice address
- 129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777 - Phone
- (856) 863-3913
- Fax
- (856) 863-3917
- NPI assigned
- Oct 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Veonica Gadden
- Title
- Billing Supervisor
- Phone
- (856) 863-3913
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Maryville Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 2000132 | NJ | Yes |
Addresses
Primary practice location
129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Mailing address
129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Phone (856) 863-3913
Other practice location 1
526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone (856) 227-2717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185485 | Medicaid | NJ |
Other names
- MARYVILLE ADDICTION TREATMENT CENTER
Other providers in Turnersville, NJ
- Maria Martin
- Martin'S Youth Services
- Catarina Martins
- Maryville, Inc
- Maryville, Inc
- Allison Maskin
- Kelly Christine Maslanik
- Kruti Jayesh Matlani
- Andrea Rose Mazzei
- James L. McCabe III
All providers in Turnersville, NJ · Substance Use Disorder Rehabilitation Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.