Seacrest Recovery Center North Jersey, LLC
Substance Abuse Rehabilitation Facility in Eatontown, NJ. Organization (NPI-2).
NPI number1669998100
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1669998100
- Entity type
- Organization (NPI-2)
- Legal business name
- Seacrest Recovery Center North Jersey, LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2017
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Practice location
162 N Main StreetRoute 35
Eatontown, NJ 07724
Phone 954-415-3608
Mailing address
5300 Atlantic Ave Ste 400Delray Beach, FL 33484-8141
Phone 954-415-3608
Authorized official
Jared Pruzan
Owner
9544153608
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.