IDRC Program Form

First Name*
First
Last Name*
Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email Address*
Class Date
MM slash DD slash YYYY
Summons Number and/or Driver’s License Number*
IDRC Program Payment*
Price:
Cost includes a $9 convenience fee.
After clicking submit, you will be taken to another form that will direct you to Square for payment.

Maryville is a 501(c)3 corporation providing high-quality, substance use and co-occurring mental health treatment, education, and support services for families throughout the tri-state area. Maryville is licensed by the state of New Jersey, accredited by CARF, and a member of the National Association of Addiction Treatment Providers.

Inpatient

1903 Grant Avenue
Williamstown, NJ 08094

610 Pemberton Browns
Mills Road
Pemberton, NJ 08068

Outpatient

129 Johnson Road, Suite 7
Turnersville, NJ 08012

1173 E. Landis Avenue
Vineland, NJ 08360

Gloucester County IDRC
Intoxicated Driver Resource Center

121 Johnson Road, Suite 4
Turnersville, NJ 08012