Provider Demographics
NPI:1104207489
Name:ALLIES, INC.
Entity Type:Organization
Organization Name:ALLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRETOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-689-0136
Mailing Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:BUILDING A SUITE 101
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3711
Mailing Address - Country:US
Mailing Address - Phone:609-689-0136
Mailing Address - Fax:609-581-4891
Practice Address - Street 1:5100 BELMAR BLVD
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07727-4027
Practice Address - Country:US
Practice Address - Phone:609-689-0136
Practice Address - Fax:609-581-4891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOODS RESOURCES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAT4059251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0462314Medicaid
NJAT4059OtherLOCATION LICENSE ID