| Advance Housing, Inc. | |
|
100 Hollister Rd Unit 7 Teterboro NJ 07608-1139 | |
| (201) 498-9140 | |
| (201) 498-9144 |
| Full Name | Advance Housing, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Hollister Rd Unit 7, Teterboro, New Jersey |
| Authorized Official Name and Position | Carolyn Jaime (PRESIDENT AND CEO) |
| Authorized Official Contact | 2014989140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Housing, Inc. 100 Hollister Rd Unit 7 Teterboro NJ 07608-1139 Ph: (201) 498-9140 | Advance Housing, Inc. 100 Hollister Rd Unit 7 Teterboro NJ 07608-1139 Ph: (201) 498-9140 |
| NPI Number | 1346759537 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759537 | NPI | - | NPPES |
| 0453862 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Advance Housing, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hollister Rd Unit 7, Teterboro, NJ 07608 Phone: 201-498-9140 Fax: 201-498-9144 |