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
MICHAEL WILDER MHSA (SENIOR VP OF OPERATIONS)
(856) 241-3320
Entity
Organization
Contact information
Practice address
12 GARDEN ST, LINCOLN PARK, NJ 07035-1313
(856) 241-3320
Mailing address
510 HERON DR STE 114, SWEDESBORO, NJ 08085-1767
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463591
—
NJ
Enumeration date
03/23/2018
Last updated
03/23/2018
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