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STANFORD CTC SERVICES, LLC
NPI 1699247635
Substance Abuse Rehabilitation Facility in Blackwood, NJ

Active since December 31, 2018
141 S BLACK HORSE PIKE STE 204, BLACKWOOD, NJ 08012(856) 302-6437(856) 302-5532 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Dec 31, 2018 (2 updates tracked since 2018).

About Stanford Ctc Services, Llc NPPES

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

STANFORD CTC SERVICES, LLC (NPI 1699247635) is a healthcare organization registered as a substance abuse rehabilitation facility in Blackwood, New Jersey and active in the NPI registry since December 2018. The organization lists Leroy Stanford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699247635
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSTANFORD CTC SERVICES, LLC
Location Address141 S BLACK HORSE PIKE STE 204Blackwood, NJ 08012-2975
Mailing Address24 Patricia LnSicklerville, NJ 08081-1810 · (856) 728-6029 · Fax (856) 302-5532
Phone(856) 302-6437
Fax(856) 302-5532
Organization SubpartNo
Authorized OfficialLeroy StanfordCeo · (856) 302-6437
Enumeration DateDecember 31, 2018
Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1699247635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
141 S BLACK HORSE PIKE STE 204, Blackwood, NJ 08012
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINY HILL MS, LAC, LCADC
Counselor (Professional)
141 S BLACK HORSE PIKE STE 204
BLACKWOOD, NJ 08012
Camden County (856) 302-6437

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 Stanford Ctc Services, LLC's NPI number?

The NPI number for Stanford Ctc Services, LLC is 1699247635. It was assigned to this organization in the NPPES registry on December 31, 2018.

Where is Stanford Ctc Services, LLC located?

Stanford Ctc Services, LLC is located at 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012. The listed phone number is (856) 302-6437.

What is Stanford Ctc Services, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Stanford Ctc Services, LLC was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.