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Maryville, Inc

Substance Use Disorder Rehabilitation Clinic/Center in Glassboro, NJ · enumerated 2007 · authorized official James O'Brien, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780806083

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Registry record

Entity type Organization (Type 2)
Legal business name Maryville, Inc
Practice address 707 N Main St, Glassboro, NJ, 08028
Fax (856) 863-3917
Enumeration date May 3, 2007
Last updated in NPPES Apr 7, 2010

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 23032 (NJ) Primary

Authorized official

Name James O'Brien
Title Ceo

Other identifiers

Identifier Type State Issuer
7632304 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-07. Verify at npiregistry.cms.hhs.gov.
Where is Maryville, Inc located?
The practice location on file with NPPES is in Glassboro, NJ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-07.