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General NPI Number Information
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NPI Number | 1669313573
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Entity Type | Organization
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Legal Business Name | THE COUNSELING CENTER AT MONMOUTH JUNCTION NJ, LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 1100 CORNWALL RD STE 111
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2411
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Country | US
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Telephone | 732-419-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1575
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1018
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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 | AUTHORIZED OFFICIAL
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Name | MATHIAS DEUTSCH
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Credential |
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Telephone | 732-684-4749
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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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