Organization · NPI-2
Advanced Health & Education
Community/Behavioral Health · Eatontown, NJ
NPI number1073889358
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1073889358
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health & Education
- Organization subpart
- No
- Enumeration date
- Mar 30, 2012
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
3 Corbett WayEatontown, NJ 07724-2283
Phone 888-687-6977
Mailing address
3 Corbett WayEatontown, NJ 07724-2283
Phone 888-687-6977
Authorized official
Gilbert Yates
Contract Manager
8772627803
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