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NPI Code Detail

MEDICARE: AVENUES RECOVERY CENTER AT COVINGTON

MEDICARE: AVENUES RECOVERY CENTER AT COVINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2276400000XSubstance Use Disorder Rehabilitation Hospital Unit
3324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1629720081
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVENUES RECOVERY CENTER AT COVINGTON
Provider Business Mailing Address
First Line : 1600 AVENUE OF THE STATES STE 700
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4909
Country : US
Telephone Number : 732-967-2635
Fax Number :
Provider Business Practice Location Address
First Line : 195 HIGHLAND PARK PLZ STE 100
Second Line :
City : COVINGTON
State : LA
Zip : 70433-7128
Country : US
Telephone Number : 732-307-8000
Fax Number :
Authorized Official
Title or Position : CEO
Name : YEHUDA ALTER
Credential :
Telephone Number : 732-307-8000
Provider Enumeration Date : 01/26/2022
Last Update Date : 05/07/2026

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Directions to “AVENUES RECOVERY CENTER AT COVINGTON ” Practice Location

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