| Andre Community Supports | |
|
8 Clyde Sq Jackson NJ 08527-3979 | |
| (848) 224-9516 | |
| Not Available |
| Full Name | Andre Community Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Clyde Sq, Jackson, New Jersey |
| Authorized Official Name and Position | Victor Guijarro (CEO) |
| Authorized Official Contact | 8482249516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Community Supports 8 Clyde Sq Jackson NJ 08527-3979 Ph: () - | Andre Community Supports 8 Clyde Sq Jackson NJ 08527-3979 Ph: (848) 224-9516 |
| NPI Number | 1649910373 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649910373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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