| Advocate2awareness | |
|
342 Madison Hill Rd Clark NJ 07066-2227 | |
| (908) 546-8947 | |
| (908) 546-8947 |
| Full Name | Advocate2awareness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 342 Madison Hill Rd, Clark, New Jersey |
| Authorized Official Name and Position | Mike H Ellis (PRESIDENT) |
| Authorized Official Contact | 9085468947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate2awareness 1950 William St Union NJ 07083-4504 Ph: (908) 546-8947 | Advocate2awareness 342 Madison Hill Rd Clark NJ 07066-2227 Ph: (908) 546-8947 |
| NPI Number | 1134630478 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 10/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134630478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37LC00225500 (New Jersey) | Primary |
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