Organization
AVENUES TO INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN CLARK (EXECUTIVE DIRECTOR)
(856) 537-7919
Entity
Organization
Contact information
Practice address
55 CURTIS AVE, WOODBURY, NJ 08096-4619
(856) 537-7919
Mailing address
55 CURTIS AVE, WOODBURY, NJ 08096-4619
(856) 537-7919
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
621610
NJ
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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