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General NPI Number Information
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NPI Number | 1326903683
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Entity Type | Organization
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Legal Business Name | HEALING BIRCH RECOVERY LLC DBA ARCHANGEL CENTERS CENTRAL
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 44 APPLE ST STE 3
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City | TINTON FALLS
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State | NJ
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Zip | 07724-2672
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Country | US
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Telephone | 561-252-9389
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Fax |
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Provider Business Mailing Address
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Address Line | 44 APPLE ST STE 3
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City | TINTON FALLS
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State | NJ
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Zip | 07724-2672
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMANTHA HEWETT
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Credential |
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Telephone | 561-252-9389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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