OrganizationActive
Ambrosia of Medford LLC
NPI 1174117964 · Substance Abuse Rehabilitation Facility · Medford, NJ
Provider details
- NPI number
- 1174117964
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Ambrosia of Medford LLC
- Organization subpart
- Yes
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Residential Treatment Facilities
Practice location
285 Old Marlton Pike
Medford, NJ 08055-8761
Phone: (714) 828-1800
Fax: (714) 882-1186
Approximate (ZIP-level) locationGet directions
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Other names (DBA / former)
- Doing business as
- Pinelands Recovery Center of Medford
Additional practice locations (1)
- 283 Old Marlton PikeMedford, NJ 08055-8761Phone: (714) 828-1800Fax: (714) 882-1186
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.