Organization
ADVENTURE MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA R FORD (EXECUTIVE DIRECTOR)
(609) 534-2999
Entity
Organization
Contact information
Practice address
32 JEAN CT, HAMMONTON, NJ 08037-4425
(609) 534-2999
Mailing address
800 NEW RD UNIT 828, NORTHFIELD, NJ 08225-8042
(609) 534-2999
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462870
—
NJ
Enumeration date
10/27/2014
Last updated
05/10/2017
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