| Stanford Ctc Services, Llc | |
|
141 S Black Horse Pike Ste 204 Blackwood NJ 08012-2975 | |
| (856) 302-6437 | |
| (856) 302-5532 |
| Full Name | Stanford Ctc Services, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 141 S Black Horse Pike Ste 204, Blackwood, New Jersey |
| Authorized Official Name and Position | Leroy Stanford (CEO) |
| Authorized Official Contact | 8563026437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Ctc Services, Llc 24 Patricia Ln Sicklerville NJ 08081-1810 Ph: (856) 728-6029 | Stanford Ctc Services, Llc 141 S Black Horse Pike Ste 204 Blackwood NJ 08012-2975 Ph: (856) 302-6437 |
| NPI Number | 1699247635 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699247635 | NPI | - | NPPES |
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