Advanced Wellness Associates
Organization Active NPI Adult Mental Health Clinic/Center · Freehold, NJ
NPI 1710657010 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1710657010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- ADVANCED WELLNESS ASSOCIATES
- Practice address
- 115 Dutch Lane Rd
Freehold, NJ 07728-5500 - Phone
- (732) 431-7420
- NPI assigned
- Sep 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Blimi Aviv
- Title
- Director of Ar
- Phone
- (973) 285-2893
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
115 Dutch Lane Rd
Freehold, NJ 07728-5500
Mailing address
1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122
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- Sumitra Agarwal
All providers in Freehold, NJ · Adult Mental Health Clinic/Center 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 Sep 17, 2021. 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.