Surfside Recovery Services Inc.

LBN: Surfside Recovery Services Inc.
Surfside Recovery Services Inc. is an health care organization with primary practice located at 3 S Weymouth Ave , Ventnor City NJ 08406-2980. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Surfside Recovery Services Inc. can be contacted via phone (609) 709-0245, or through Koch, Ian L. via phone (609) 709-0244.

Contact Information

Primary practice address
3 S Weymouth Ave Ventnor City NJ 08406-2980
Phone: (609) 709-0245
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koch, Ian L. MS, LCADC, CAS
Phone: (609) 709-0244

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00214900 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00513700 New Jersey

Profile Details

NPI number 1699282525
LBN Legal business name Surfside Recovery Services Inc.
DBA Doing business as
Authorized official Koch, Ian L. MS, LCADC, CAS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2017
Last updated Dec 31st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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