Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS STAFFORD, CPRS
Active Sole ProprietorNICHOLAS STAFFORD, CPRS is a Substance Abuse Rehabilitation Facility healthcare provider located in PEMBERTON, New Jersey. NPI 1700594488 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · PEMBERTON, NJ
Registration Details
- NPI Number
- 1700594488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2022 (3.6142275054023 yrs)
- Last Updated
- Nov 10, 2022
- License
-
1000140 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 PEMBERTON BROWNS MILLS RDPEMBERTON, NJ, 080681537Browse NJ providers · Browse ZIP 08068
- Phone
- 6093216269
- Fax
- 6092830262
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in PEMBERTON, NJ
| Name | Credential | NPI |
|---|---|---|
| CASEY MOSS | — | 1902511223 |
| NICOLE M STORER | CPRS | 1457105132 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.