Anthony Defazio, Lcadc LLC
Anthony Defazio, Lcadc LLC is a Children's Substance Abuse Rehabilitation Facility in Wall, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1540 Rte 138 Ste 201Wall, NJ 07719-3765
Phone: (732) 984-1263
Fax: (732) 515-9159
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X |
|---|
Record details
| NPI number | 1578345914 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Defazio — Owner · (173) 298-4126 |
| Other names | Anthony Defazio, Lcadc Llc |
| NPI enumerated | October 19, 2023 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
| Mailing address | 1540 Rte 138 Ste 201, Wall, NJ 07719-3765 |