Organization
AGC SERVICES
Active
Other names
AGC Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCGOWAN (DIRECTOR)
(973) 928-3428
Entity
Organization
Contact information
Practice address
338 PRESIDENT ST, SADDLE BROOK, NJ 07663-6323
(973) 928-3428
Mailing address
338 PRESIDENT ST, SADDLE BROOK, NJ 07663-6323
(973) 928-3428
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
35SI00033100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474 8107
—
NJ
Enumeration date
03/30/2007
Last updated
08/22/2020
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