Organization
ANDRE COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GUIJARRO (CEO)
(848) 224-9516
Entity
Organization
Contact information
Practice address
8 CLYDE SQ, JACKSON, NJ 08527-3979
(848) 224-9516
Mailing address
8 CLYDE SQ, JACKSON, NJ 08527-3979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
06/22/2023
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