Provider Demographics
NPI:1669229118
Name:EMPOWER RECOVERY CENTER NEW JERSEY
Entity type:Organization
Organization Name:EMPOWER RECOVERY CENTER NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OF FACILITY/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BEECROFT
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:856-649-4598
Mailing Address - Street 1:200 INDEPENDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1092
Mailing Address - Country:US
Mailing Address - Phone:856-649-4598
Mailing Address - Fax:
Practice Address - Street 1:200 INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1092
Practice Address - Country:US
Practice Address - Phone:856-649-4598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder