MARYVILLE, INC – NPI #1073023354
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

MARYVILLE, INC is a substance abuse rehabilitation facility located in WILLIAMSTOWN, NJ. NPPES has assigned the NPI number 1073023354 to MARYVILLE, INC on October 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MARYVILLE, INC is also known by the name MARYVILLE ADDICTION TREATMENT CENTER. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Aug 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVILLE, INC below.

NPI Profile for
MARYVILLE, INC

NPI Number
1073023354
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVILLE, INC
Other Name: MARYVILLE ADDICTION TREATMENT CENTER
Primary location
1903 GRANT AVE
WILLIAMSTOWN, NJ 08094
Phone: (856) 629-0244 Fax: (856) 629-3760
Mailing address
129 JOHNSON RD STE 7
TURNERSVILLE, NJ 08012-1777
Phone: (856) 863-3913 Fax:
Organization Subpart
No
Authorized Official
JARED LEVY
CFO
Phone: (856) 863-3913
Updated
Identifiers

Identifiers for MARYVILLE, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0431753
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 NJ 1000028

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.