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MARYVILLE, INC.
NPI 1205058567
Clinic/Center - Rehabilitation, Substance Use Disorder in Salem, NJ

Active since May 03, 2007
567 SALEM-QUINTON RD, SALEM, NJ 08079(856) 935-9305(856) 935-9269 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryville, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYVILLE, INC. (NPI 1205058567) is a healthcare organization registered as a rehabilitation, substance use disorder in Salem, New Jersey and active in the NPI registry since May 2007. The organization lists James O'brien, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205058567
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMARYVILLE, INC.
Location Address567 SALEM-QUINTON RDSalem, NJ 08079
Mailing Address567 Salem-quinton RdSalem, NJ 08079 · (856) 935-9305 · Fax (856) 935-9269
Phone(856) 935-9305
Fax(856) 935-9269
Organization SubpartYes
Authorized OfficialJames O'brienCeo · (256) 227-2717
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 7, 2010
✔ NPI 1205058567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in NJ · 23016
567 SALEM-QUINTON RD, Salem, NJ 08079
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Other Identifiers 1

Medicaid7632401NJ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryville, Inc.'s NPI number?

The NPI number for Maryville, Inc. is 1205058567. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Maryville, Inc. located?

Maryville, Inc. is located at 567 Salem-Quinton Rd, Salem, NJ 08079. The listed phone number is (856) 935-9305.

What is Maryville, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Maryville, Inc. was last updated on April 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.