OrganizationActive
College Recovery LLC
NPI 1114757739 · Substance Use Disorder Rehabilitation Clinic/Center · New Brunswick, NJ
Provider details
- NPI number
- 1114757739
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- College Recovery LLC
- Organization subpart
- Yes
- Authorized official
- Isaac Glasman, Director(973) 556-7701
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
104 Bayard St
New Brunswick, NJ 08901-2389
Phone: (973) 556-7701
Approximate (ZIP-level) locationGet directions
Mailing address
104 Bayard St
New Brunswick, NJ 08901-2389
Other names (DBA / former)
- Doing business as
- Soba New Jersey
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.