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NPI 1669736757

NPI 1669736757 : ANOTHER DOOR OPENS RECOVERY CENTER : EWING, NJ

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General NPI Number Information
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    NPI Number           |    1669736757
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANOTHER DOOR OPENS RECOVERY CENTER 
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Dates
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    Enumeration Date     |    07/03/2012
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    Last Update Date     |    01/16/2025
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Provider Practice Location Address
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    Address Line         |    1230 PARKWAY AVE STE 105 
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    City                 |    EWING
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    State                |    NJ
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    Zip                  |    08628-3018
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    Country              |    US
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    Telephone            |    609-393-1219
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    Fax                  |    609-393-1246
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Provider Business Mailing Address
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    Address Line         |    700 S CLINTON AVE 
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08611-1916
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    Country              |    US
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    Telephone            |    609-393-1219
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    Fax                  |    609-393-1246
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Authorized Official
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    Title or Position    |    COO
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    Name                 |    MRS. REJA  BOOKER 
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    Credential           |    
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    Telephone            |    856-912-0651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    200043812
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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       |    200043812
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    License Number State |    NJ
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