OrganizationActive
Maryville, Inc
NPI 1780806083 · Substance Use Disorder Rehabilitation Clinic/Center · Glassboro, NJ
Provider details
- NPI number
- 1780806083
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James O'Brien, Ceo(856) 227-2717
- License
- 23032 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
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
707 N Main St
Glassboro, NJ 08028-1605
Phone: (856) 863-3913
Fax: (856) 863-3917
Street-level locationGet directions
Mailing address
707 N Main St
Glassboro, NJ 08028-1605
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 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.