Organization · NPI-2

All Star Aba Nj LLC

Community/Behavioral Health · Toms River, NJ

NPI number1932962842
StatusActive
Last updated in NPPESMar 12, 2025

Details

NPI
1932962842
Entity type
Organization (NPI-2)
Legal business name
All Star Aba Nj LLC
Organization subpart
No
Enumeration date
Feb 2, 2024
Certification date
Mar 10, 2025
Last updated
Mar 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1815 Lakewood Rd
Suite 136
Toms River, NJ 08755-2143

Phone 410-541-1316

Mailing address

99 Grande Woodlands Way
Toms River, NJ 08755-1724

Phone 718-600-6604

Other practice locations

99 Grande Woodlands Way
Toms River, NJ 08755-1724

Phone 718-600-6604

Authorized official

Shawn Tyberg
Director
7186006604

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