Provider Demographics
NPI:1073312914
Name:SERV ACHIEVEMENT CENTERS, INC
Entity type:Organization
Organization Name:SERV ACHIEVEMENT CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-662-3202
Mailing Address - Street 1:3 AAA DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1814
Mailing Address - Country:US
Mailing Address - Phone:609-406-0100
Mailing Address - Fax:
Practice Address - Street 1:206A EATONCREST DR
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1257
Practice Address - Country:US
Practice Address - Phone:609-406-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities