Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY DEFAZIO, LCADC LLC
Active OrganizationANTHONY DEFAZIO, LCADC LLC is a Children's Substance Abuse Rehabilitation Facility organization located in WALL, New Jersey. NPI 1578345914 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · WALL, NJ
Registration Details
- NPI Number
- 1578345914
- Provider Type
- Organization
- NPI Issued
- Oct 19, 2023 (2.8614475514345 yrs)
- Last Updated
- Oct 19, 2023
Practice Information
- Address
-
1540 RTE 138 STE 201WALL, NJ, 077193765Browse NJ providers · Browse ZIP 07719
- Phone
- 7329841263
- Fax
- 7325159159
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.