# 2 CHANGE OF HEARTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Change of heart
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104671015
- **Authorized official:** SHATAYA BOSWELL MSW (DIRECTOR)
- **Authorized official phone:** (848) 299-2064

## Contact information

- **Practice address:** 16 WINDING RIVER DR, TOMS RIVER, NJ 08755-5123
- **Practice address phone:** (848) 299-2064
- **Mailing address:** 16 WINDING RIVER DR, TOMS RIVER, NJ 08755-5123
- **Mailing address phone:** (848) 299-2064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/02/2025
