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General NPI Number Information
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NPI Number | 1982025987
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Entity Type | Organization
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Legal Business Name | ADDICTION TREATMENT SERVICES INTERNATIONAL
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 4 EAST JIMMIE LEEDS RD SUITE #9
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City | GALLOWAY
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State | NJ
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Zip | 08205
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Country | US
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Telephone | 609-498-6009
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Fax | 609-241-6573
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Provider Business Mailing Address
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Address Line | 4 EAST JIMMIE LEEDS RD SUITE #9
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City | GALLOWAY
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State | NJ
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Zip | 08205
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Country | US
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Telephone | 609-498-6009
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Fax | 609-241-6573
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CARL WILLIAMS
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Credential | PH.D, LCADC
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Telephone | 609-910-2634
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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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