Creative Change Counseling
Substance Abuse Rehabilitation Facility in Lumberton, NJ. Organization (NPI-2).
NPI number1235795014
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1235795014
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Change Counseling
- Organization subpart
- No
- Enumeration date
- May 16, 2019
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
774 Eayrestown Rd Ste 204Lumberton, NJ 08048-3100
Phone 609-668-4719 · Fax 609-667-7944
Mailing address
774 Eayrestown Rd Ste 204Lumberton, NJ 08048-3100
Phone 609-668-4719 · Fax 609-667-7944
Authorized official
Bertee Thomas
Ceo
6096677353
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