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 codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

3 Corbett Way
Eatontown, NJ 07724-2283

Phone 888-687-6977

Mailing address

3 Corbett Way
Eatontown, NJ 07724-2283

Phone 888-687-6977

Authorized official

Gilbert Yates
Contract Manager
8772627803

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