Organization
ADVANCE HOUSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JAIME LCSW (PRESIDENT & 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, TETERBORO, NJ 07608-1148
(201) 498-9140
(201) 498-9144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7854102
—
NJ
Enumeration date
12/28/2006
Last updated
04/23/2021
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