Provider Demographics
NPI:1871487033
Name:BLUECREST DETOX
Entity type:Organization
Organization Name:BLUECREST DETOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-298-5776
Mailing Address - Street 1:482 NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1922
Mailing Address - Country:US
Mailing Address - Phone:551-777-3600
Mailing Address - Fax:
Practice Address - Street 1:6 MINNEAKONING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5728
Practice Address - Country:US
Practice Address - Phone:973-298-5773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder