Provider Demographics
NPI:1801606843
Name:JUST US RECOVER LLC
Entity type:Organization
Organization Name:JUST US RECOVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NABILIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD-ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCADC
Authorized Official - Phone:908-591-3160
Mailing Address - Street 1:186 WILLOWBROOK DR BLDG 14
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1253
Mailing Address - Country:US
Mailing Address - Phone:908-591-3160
Mailing Address - Fax:
Practice Address - Street 1:186 WILLOWBROOK DR BLDG 14
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1253
Practice Address - Country:US
Practice Address - Phone:908-591-3160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty