Provider Demographics
NPI:1952883019
Name:ADVOCATE HOUSE INC
Entity type:Organization
Organization Name:ADVOCATE HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BORDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-634-7052
Mailing Address - Street 1:PO BOX 9083
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-0083
Mailing Address - Country:US
Mailing Address - Phone:740-894-1403
Mailing Address - Fax:740-451-0509
Practice Address - Street 1:738 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1056
Practice Address - Country:US
Practice Address - Phone:740-894-1403
Practice Address - Fax:740-451-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV9A592324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility