MARYVILLE, INC


Address: 707 N Main St, Glassboro, NJ 08028-1605
Phone: 8568633913

MARYVILLE, INC (NPI# 1780806083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780806083
Entity Type Organization
Organization Name MARYVILLE, INC
Practice Address 707 N Main St
Glassboro
NJ 08028-1605
Practice Telephone 8568633913
Practice Fax Number 8568633917
Mailing Telephone 8568633913
Mailing Fax Number 8568633917
Enumeration Date 2007-05-03
Last Update Date 2010-04-07
Authorized Official Name MR. JAMES O'BRIEN (CEO)
Authorized Official Telephone 8562272717
Authorized Official Credential MSW, LCADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
23032 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7632304 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205346574 Maryville, Inc Clinic/Center 1173 E Landis Ave, Vineland, NJ 08360 2017-10-02
1225262629 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012 2009-05-13
1619474780 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-06
1437655594 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-05
1457851107 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2018-02-20
1306346325 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 2018-02-16
1073023354 Maryville, Inc Substance Abuse Rehabilitation Facility 1903 Grant Ave, Williamstown, NJ 08094 2017-10-02
1922518299 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012-1777 2017-10-02

Office Location

Street Address 707 N MAIN ST
City GLASSBORO
State NJ
Zip Code 08028-1605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487102778 Cornerstone Foot & Ankle Podiatrist 707 N Main St, Glassboro, NJ 08028-1605 2016-09-14
1376908400 Happy Healthy You Family Medicine, PC Family Medicine 707 N Main St, Glassboro, NJ 08028-1605 2015-12-16
1396003554 Brittany Ashley Gray Physical Therapist 707 N Main St, Suite 1, Glassboro, NJ 08028-1605 2012-04-25
1487942702 Kelliann Gallagher Physical Therapist 707 N Main St, Glassboro, NJ 08028-1605 2011-07-20
1265740161 Charles Alden Moore Physical Therapist 707 N Main St, Glassboro, NJ 08028-1605 2010-09-14
1457420440 Armand W Dethomas Jr. Physical Therapist 707 N Main St, Glassboro, NJ 08028-1605 2006-11-06
1548237365 Megan P Mclaughlin Physical Therapist 707 N Main St, Glassboro, NJ 08028-1605 2006-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508320581 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1328 East Boulevard, Glassboro, NJ 08028 2019-01-24
1427512599 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 210 Pennsylvania Avenue, Glassboro, NJ 08028 2019-01-23
1639641210 Seth Frost Counselor 2 Delsea Dr S., Glassboro, NJ 08028 2018-12-20
1083195788 Strong Tower Social Services, Inc Clinic/Center 341 Fish Pond Road, Glassboro, NJ 08028 2018-08-22
1023506730 Tri-county Support Coordination LLC Case Management 275 E High St, Ste S364, Glassboro, NJ 08028 2018-04-27
1558872721 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 32 Reading Street, Apt. #2, Glassboro, NJ 08028 2017-10-16
1073023545 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 960 North Main Street, Glassboro, NJ 08028 2017-10-10
1366978645 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 685 Aura Rd, Glassboro, NJ 08028 2017-05-05
1831623594 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3 Potsdam Court, Glassboro, NJ 08028 2017-04-19
1003340761 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 113 Stoneham Drive, Glassboro, NJ 08028 2017-04-19
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1437764354 Phoenix Behavioral Health LLC Clinic/Center 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 2020-09-09
1710504881 Vimax LLC Clinic/Center 6 Cornwall Ct, East Brunswick, NJ 08816-3347 2020-07-06
1588289615 Camden County Suboxone LLC Clinic/Center 8 Somerdale Sq, Somerdale, NJ 08083-1345 2020-06-15
1558905380 Grace Community Development Center Clinic/Center 100 Melville Ln, Willingboro, NJ 08046-2912 2019-11-05
1740822121 The Empowerment House, Non Profit Inc. Clinic/Center 1314 S Clinton Ave, Trenton, NJ 08611-1436 2019-10-17
1265088892 Absolute Awakenings Treatment Center LLC Clinic/Center 3000 Route 10 West, Denville, NJ 07834 2019-08-09
1326607243 Recovery Zone Solutions, LLC Clinic/Center 124 East Main Street, Ste#109, Denville, NJ 07834 2019-06-13
1720644800 Ars Treatment Centers of New Jersey, PC Clinic/Center 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 2019-05-14
1184182230 Turning Point, Inc. Clinic/Center 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 2019-03-07
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Competitor

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City GLASSBORO
Zip Code 08028

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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