Adventure Mental Health, LLC
Organization Active NPI In Home Supportive Care Agency · Hammonton, NJ
NPI 1154726685 · NPPES record last updated May 10, 2017
Key facts
- NPI
- 1154726685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ADVENTURE MENTAL HEALTH, LLC
- Practice address
- 32 Jean CT
Hammonton, NJ 08037-4425 - Phone
- (609) 534-2999
- NPI assigned
- Oct 27, 2014
- Organization subpart
- No
Authorized official
- Name
- Linda R Ford
- Title
- Executive Director
- Phone
- (609) 534-2999
Practitioners 1
-
Racquel Tanyato Housen, CNS, LDN
National Provider Directory
Locations
800 New Rd
Unit 828
Northfield, NJ 08225
Phone (609) 534-2999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter |
171R00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
32 Jean CT
Hammonton, NJ 08037-4425
Mailing address
800 New Rd Unit 828
Northfield, NJ 08225-8042
Phone (609) 534-2999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0462870 | Medicaid | NJ |
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All providers in Hammonton, NJ · In Home Supportive Care Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.