| Seacrest Recovery Center North Jersey, Llc | |
|
162 Highway 35 Eatontown NJ 07724 | |
| (954) 415-3608 | |
| Not Available |
| Full Name | Seacrest Recovery Center North Jersey, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 162 Highway 35, Eatontown, New Jersey |
| Authorized Official Name and Position | Jared Pruzan (OWNER) |
| Authorized Official Contact | 9544153608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacrest Recovery Center North Jersey, Llc 5300 Atlantic Ave Ste 400 Delray Beach FL 33484-8141 Ph: (954) 415-3608 | Seacrest Recovery Center North Jersey, Llc 162 Highway 35 Eatontown NJ 07724 Ph: (954) 415-3608 |
| NPI Number | 1669998100 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669998100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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