Advoserv Of New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pemberton, NJ. Organization (NPI-2).
NPI number1477933166
StatusActive
Last updated in NPPESApr 3, 2018
Details
- NPI
- 1477933166
- Entity type
- Organization (NPI-2)
- Legal business name
- Advoserv Of New Jersey, INC.
- Organization subpart
- Yes
- Enumeration date
- Jun 8, 2015
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | GH835 | NJ | Yes |
Practice location
152 Oak Pines BlvdPemberton, NJ 08068-1932
Phone 856-241-3320 · Fax 856-241-3321
Mailing address
2520 Wrangle Hill Rd Ste 200Bear, DE 19701-3856
Phone 302-365-8050
Authorized official
Darren Blough
State Director
8562413320
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