PRINCETON DETOX AND RECOVERY CENTER, LLC - NPI 1740749357 - Substance Abuse Rehabilitation Facility in Monmouth Junction, NJ

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Princeton Detox And Recovery Center, Llc NPPES

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

PRINCETON DETOX AND RECOVERY CENTER, LLC (NPI 1740749357) is a healthcare organization registered as a substance abuse rehabilitation facility in Monmouth Junction, New Jersey and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Mike Rocks, Executive, as its authorized official.

NPPES Registry Identity

NPI1740749357

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePRINCETON DETOX AND RECOVERY CENTER, LLC

Location Address4287 US HIGHWAY 1Monmouth Junction, NJ 08852-1902

Mailing Address4287 Us Highway 1Monmouth Junction, NJ 08852-1902

Phone(833) 653-3869

Organization SubpartNo

Authorized OfficialMike RocksExecutive · (833) 653-3869

Enumeration DateMarch 14, 2019

✔ NPI 1740749357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4287 US HIGHWAY 1, Monmouth Junction, NJ 08852

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2164693

Princeton Detox And Recovery Center · Monmouth Junction, NJ

Active · expires Apr 10, 2027

CLIA Number31D2164693

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateApril 11, 2025

Certificate Expiration DateApril 10, 2027

Laboratory DirectorTamer Wassef

Laboratory Phone(732) 402-0312

Laboratory LocationPrinceton Detox And Recovery Center4287 Us 1, Monmouth Junction, NJ 08852

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

AMANDA HILZER M.ED, LCADC, CCS

Counselor (Addiction (Substance Use Disorder))