NPIMap

Organization Active NPI

Services to Overcome Drug Abuse Among Teenagers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Holly, NJ
National Provider Identifier
1952880288
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
301309 Issued in NJ
Legal business name
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Practice address
60 High St
Mount Holly, NJ 08060
Phone
(609) 265-7884
Fax
(609) 265-8449
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 301309 NJ Primary

Addresses

Primary practice location

60 High St
Mount Holly, NJ 08060

Mailing address

919 Broadway
Westville, NJ 08093-1436
Phone (856) 475-1310

Other practice location 1

919 Broadway
Westville, NJ 08093-1436
Phone (856) 475-1310

Other identifiers 1

IdentifierTypeStateIssuer
0441767MedicaidNJ

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.

Locations

60 High St
Mount Holly, NJ 08060
Phone (609) 265-7884

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1952880288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 BROADWAY",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931436",
            "telephone_number": "856-475-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-265-7884",
            "fax_number": "609-265-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 Broadway",
            "address_purpose": "LOCATION",
            "city": "Westville",
            "state": "NJ",
            "postal_code": "080931436",
            "country_code": "US",
            "telephone_number": "856-475-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-10-18",
        "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": "NJ",
            "license": "301309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441767",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.