OrganizationActive
Stanford Ctc Services, LLC
NPI 1699247635 · Substance Abuse Rehabilitation Facility · Blackwood, NJ
Provider details
- NPI number
- 1699247635
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leroy Stanford, Ceo(856) 302-6437
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
141 S Black Horse Pike Ste 204
Blackwood, NJ 08012-2975
Phone: (856) 302-6437
Fax: (856) 302-5532
Street-level locationGet directions
Mailing address
24 Patricia Ln
Sicklerville, NJ 08081-1810
Registry dates
- Enumerated
- 2018-12-31
- Last updated
- 2020-09-18
- Certified
- 2020-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.