| Surfside Recovery Services Inc. | |
|
3 S Weymouth Ave Ventnor City NJ 08406-2980 | |
| (609) 709-0245 | |
| Not Available |
| Full Name | Surfside Recovery Services Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3 S Weymouth Ave, Ventnor City, New Jersey |
| Authorized Official Name and Position | Ian L. Koch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6097090244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Recovery Services Inc. 3 Edgewood Dr Somers Point NJ 08244-1613 Ph: () - | Surfside Recovery Services Inc. 3 S Weymouth Ave Ventnor City NJ 08406-2980 Ph: (609) 709-0245 |
| NPI Number | 1699282525 |
|---|---|
| Provider Enumeration Date | 12/31/2017 |
| Last Update Date | 12/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699282525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00214900 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00513700 (New Jersey) | Primary |
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