Organization
ADVANCE HOUSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN JAIME LCSW (PRESIDENT AND CEO)
(201) 498-9140
Entity
Organization
Contact information
Practice address
100 HOLLISTER RD UNIT 7, TETERBORO, NJ 07608-1139
(201) 498-9140
(201) 498-9144
Mailing address
100 HOLLISTER RD UNIT 7, TETERBORO, NJ 07608-1139
(201) 498-9140
(201) 498-9144
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453862
—
NJ
Enumeration date
09/20/2017
Last updated
07/21/2022
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