Advoserv of New Jersey, Inc.

NPI #1104206119 in Paulsboro, New Jersey

Provider Information

NPI Number
1104206119
Entity Type
Organization
Organization Name
Advoserv of New Jersey, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
ADVOSERV OF NEW JERSEY, INC.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 4, 2015
Last Updated
Mar 11, 2016

Practice Location

Address
313 LINCOLN AVE
ZIP Code
08066-1132
Phone
(856) 241-3320

Authorized Official

Name
DARREN BLOUGH, M.S.W., BCABA
Title
STATE DIRECTOR
Phone
(856) 241-3320

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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