Organization
ADVOCATE2AWARENESS
Active
Organization
ADVOCATE2AWARENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE H ELLIS LCDAC (PRESIDENT)
(908) 546-8947
Entity
Organization
Contact information
Practice address
342 MADISON HILL RD, CLARK, NJ 07066-2227
(908) 546-8947
(908) 546-8947
Mailing address
1950 WILLIAM ST, UNION, NJ 07083-4504
(908) 546-8947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37LC00225500
NJ
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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