Healthcare Provider Details

I. General information

NPI: 1639448210
Provider Name (Legal Business Name): ANOTHER DOOR OPENS RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 PARKWAY AVE STE 105
EWING NJ
08628-3018
US

IV. Provider business mailing address

364 S BROAD ST REAR
TRENTON NJ
08608-2518
US

V. Phone/Fax

Practice location:
  • Phone: 609-393-1219
  • Fax:
Mailing address:
  • Phone: 908-265-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. REJA BOOKER
Title or Position: COO
Credential:
Phone: 569-120-6518