Provider Demographics
NPI:1447696224
Name:BRUSIL MANAGEMENT, LLC
Entity type:Organization
Organization Name:BRUSIL MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUNO
Authorized Official - Middle Name:
Authorized Official - Last Name:SILIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-350-5073
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-0220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 NEW RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2143
Practice Address - Country:US
Practice Address - Phone:609-350-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251B00000XAgenciesCase Management
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3336C0002XSuppliersPharmacyClinic Pharmacy