OrganizationActive
Anthony Defazio, Lcadc LLC
NPI 1578345914 · Children's Substance Abuse Rehabilitation Facility · Wall, NJ
Provider details
- NPI number
- 1578345914
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anthony Defazio, Owner(173) 298-4126
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1540 Rte 138 Ste 201
Wall, NJ 07719-3765
Phone: (732) 984-1263
Fax: (732) 515-9159
Street-level locationGet directions
Mailing address
1540 Rte 138 Ste 201
Wall, NJ 07719-3765
Other names (DBA / former)
- Doing business as
- Anthony Defazio, Lcadc LLC
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.