Organization
ADVOSERV OF NEW JERSEY, INC.
Active
Parent organization
ADVOSERV OF NEW JERSEY, INC.
Other names
190 Finderne #A
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
190 FINDERNE AVE, # A, BRIDGEWATER, NJ 08807-3038
(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
GH955
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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