Maryville, Inc.
NPI 1205058567 · Substance Use Disorder Rehabilitation Clinic/Center · Salem, NJ
Maryville, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center organization in Salem, NJ (NPI 1205058567).
Provider details
- NPI number
- 1205058567
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Maryville, Inc.
- Organization subpart
- Yes
- Authorized official
- James O'Brien, Ceo(256) 227-2717
- License
- 23016 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2010-04-07
Frequently asked questions
- What is Maryville, Inc.'s NPI number?
- Maryville, Inc.'s National Provider Identifier (NPI) is 1205058567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryville, Inc.?
- Maryville, Inc. is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maryville, Inc. located?
- Maryville, Inc.'s practice location on file with NPPES is 567 Salem-Quinton Rd, Salem, NJ 08079.
- What is Maryville, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Maryville, Inc. is (856) 935-9305.
- Who is the authorized official for Maryville, Inc.?
- The authorized official listed on Maryville, Inc.'s NPPES record is James O'Brien, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryville, Inc.'s NPI active?
- Yes — Maryville, Inc.'s NPI (1205058567) is active in the NPPES registry as of the last update on 2010-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.