Provider Demographics
NPI:1558308916
Name:ADVOCATE SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:ADVOCATE SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:CROSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-729-4465
Mailing Address - Street 1:1783 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4229
Mailing Address - Country:US
Mailing Address - Phone:410-729-4465
Mailing Address - Fax:410-729-2228
Practice Address - Street 1:1783 FOREST DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4229
Practice Address - Country:US
Practice Address - Phone:410-729-4465
Practice Address - Fax:410-729-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty