OrganizationActive
Advoserv of New Jersey, Inc.
NPI 1194105155 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bridgewater, NJ
Provider details
- NPI number
- 1194105155
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Advoserv of New Jersey, Inc.
- Organization subpart
- Yes
- Authorized official
- Darren Blough, State Director(856) 241-3320
- License
- GH2133 (NJ)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense GH2133 (NJ)
Residential Treatment Facilities
Practice location
566 Foothill Rd
Bridgewater, NJ 08807-2131
Phone: (856) 241-3320
Fax: (856) 241-3321
Approximate (ZIP-level) locationGet directions
Mailing address
2520 Wrangle Hill Rd Ste 200
Bear, DE 19701-3856
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2016-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.