Healthcare Provider Details

I. General information

NPI: 1659752574
Provider Name (Legal Business Name): ALLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 MARLTON RD
PILESGROVE NJ
08098-2723
US

IV. Provider business mailing address

1262 WHITEHORSE HAMILTON SQUARE RD STE 101
HAMILTON NJ
08690-3711
US

V. Phone/Fax

Practice location:
  • Phone: 609-689-0136
  • Fax: 609-581-4891
Mailing address:
  • Phone: 609-689-0136
  • Fax: 609-581-4891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberSL053
License Number StateNJ

VIII. Authorized Official

Name: MICHAEL HAGGERTY
Title or Position: PRESIDENT / CEO
Credential: MBA
Phone: 609-689-0136