Healthcare Provider Details

I. General information

NPI: 1497226294
Provider Name (Legal Business Name): GARDEN HEIGHTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 ROUTE 22 STE 202
MOUNTAINSIDE NJ
07092-2619
US

IV. Provider business mailing address

2925 10TH AVE N
PALM SPRINGS FL
33461-3000
US

V. Phone/Fax

Practice location:
  • Phone: 561-461-3791
  • Fax:
Mailing address:
  • Phone: 561-635-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: VALERIE DORELIEN
Title or Position: CREDENTIALING
Credential:
Phone: 561-461-3791