Provider Demographics
NPI:1538489950
Name:VOLUNTEERS OF AMERICA DELAWARE VALLEY, INC.
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA DELAWARE VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-583-2220
Mailing Address - Street 1:235 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1951
Mailing Address - Country:US
Mailing Address - Phone:856-854-4660
Mailing Address - Fax:856-869-0490
Practice Address - Street 1:510 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-1112
Practice Address - Country:US
Practice Address - Phone:856-583-2220
Practice Address - Fax:856-583-2238
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000469-10261QR0405X
NJ1000049324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility