Provider Demographics
NPI:1265812101
Name:RECOVERY AT THE CROSSROADS
Entity type:Organization
Organization Name:RECOVERY AT THE CROSSROADS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-645-2500
Mailing Address - Street 1:205 W PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5105
Mailing Address - Country:US
Mailing Address - Phone:609-645-2500
Mailing Address - Fax:
Practice Address - Street 1:509 ROUTE 168
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1458
Practice Address - Country:US
Practice Address - Phone:609-645-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000551261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder