Organization · NPI-2

Maryville, INC

Clinic/Center, Rehabilitation, Substance Use Disorder · Vineland, NJ

NPI number1205346574
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1205346574
Entity type
Organization (NPI-2)
Legal business name
Maryville, INC
Organization subpart
No
Enumeration date
Oct 2, 2017
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder2000300NJYes
251S00000X Community/Behavioral Health––
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

1173 E Landis Ave
Vineland, NJ 08360

Phone 856-690-1000 · Fax 856-690-1764

Mailing address

129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777

Phone 856-863-3913 · Fax 856-863-3917

Authorized official

Jared Levy
Cfo
8568633913

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