OrganizationActive
Elmlifelines
NPI 1184743403 · Substance Use Disorder Rehabilitation Clinic/Center · Medford, NJ
Provider details
- NPI number
- 1184743403
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Beck, Director(609) 654-4044
- License
- 22484 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
23 S Main St
Medford, NJ 08055-2444
Phone: (609) 654-4044
Fax: (609) 953-5060
Approximate (ZIP-level) locationGet directions
Mailing address
23 S Main St
Medford, NJ 08055-2444
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.