Organization
ADVOSERV OF NEW JERSEY, INC.
Active
Parent organization
ADVOSERV OF NEW JERSEY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOSERV OF NEW JERSEY, INC.
Authorized official
DARREN BLOUGH M.S.W., BCABA (STATE DIRECTOR)
(856) 241-3320
Entity
Organization
Contact information
Practice address
789 ROUTE 45, PILESGROVE, NJ 08098-2806
(856) 241-3320
(856) 241-3321
Mailing address
2520 WRANGLE HILL RD STE 200, BEAR, DE 19701-3856
(302) 365-8050
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH1251
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463591
—
NJ
Enumeration date
06/04/2015
Last updated
03/11/2016
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