Advoserv of New Jersey, Inc.

NPI #1679062392 in Pennsville, New Jersey

Provider Information

NPI Number
1679062392
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
May 8, 2018
Last Updated
May 8, 2018

Practice Location

Address
21 CASTLE DR
ZIP Code
08070-2419
Phone
(856) 241-3320

Authorized Official

Name
MICHAEL WILDER, MHSA
Title
SENIOR VP OF OPERATIONS
Phone
(856) 241-3320

Specialties & Taxonomy Codes

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

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