Provider Demographics
NPI:1033260328
Name:ALFRE INC.
Entity Type:Organization
Organization Name:ALFRE INC.
Other - Org Name:MRS. WILSON'S HALFWAY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-540-0116
Mailing Address - Street 1:56 MOUNT KEMBLE AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5152
Mailing Address - Country:US
Mailing Address - Phone:973-540-0116
Mailing Address - Fax:
Practice Address - Street 1:56 MOUNT KEMBLE AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5152
Practice Address - Country:US
Practice Address - Phone:973-540-0116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7601603Medicaid