Provider Demographics
NPI:1760002331
Name:SEABROOK HOUSE, INC.
Entity Type:Organization
Organization Name:SEABROOK HOUSE, INC.
Other - Org Name:SEABROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-455-7575
Mailing Address - Street 1:133 POLK LANE
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-5055
Mailing Address - Country:US
Mailing Address - Phone:856-455-7575
Mailing Address - Fax:856-391-6019
Practice Address - Street 1:1930 MARLTON PIKE E STE O77
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4204
Practice Address - Country:US
Practice Address - Phone:856-663-0010
Practice Address - Fax:856-375-2000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEABROOK HOUSE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility