Healthcare Provider Details

I. General information

NPI: 1669736757
Provider Name (Legal Business Name): ANOTHER DOOR OPENS RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
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

700 S CLINTON AVE
TRENTON NJ
08611-1916
US

V. Phone/Fax

Practice location:
  • Phone: 609-393-1219
  • Fax: 609-393-1246
Mailing address:
  • Phone: 609-393-1219
  • Fax: 609-393-1246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number200043812
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number200043812
License Number StateNJ

VIII. Authorized Official

Name: MRS. REJA BOOKER
Title or Position: COO
Credential:
Phone: 856-912-0651