Provider Demographics
NPI:1770966533
Name:CEDAR POINT RETREAT LLC
Entity type:Organization
Organization Name:CEDAR POINT RETREAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AREL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISTER-ALDAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-710-4300
Mailing Address - Street 1:3 CORBETT WAY
Mailing Address - Street 2:ATTN MR. FERBER
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2283
Mailing Address - Country:US
Mailing Address - Phone:800-710-4300
Mailing Address - Fax:
Practice Address - Street 1:131 DAWN RIVER WAY
Practice Address - Street 2:ATTN CONTROLLER - MR. KURT C. FERBE
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-5047
Practice Address - Country:US
Practice Address - Phone:800-710-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-29
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility