Stanford Ctc Services, LLC
Stanford Ctc Services, LLC is an Adolescent and Children Mental Health Clinic/Center in Blackwood, New Jersey. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
141 S Black Horse Pike Ste 204Blackwood, NJ 08012-2975
Phone: (856) 302-6437
Fax: (856) 302-5532
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1699247635 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leroy Stanford — Ceo · (856) 302-6437 |
| NPI enumerated | December 31, 2018 |
| Last updated in NPPES | September 18, 2020 |
| Certification date | September 18, 2020 |
| Mailing address | 24 Patricia Ln, Sicklerville, NJ 08081-1810 |