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Organization
THE CENTER FOR CHANGE AND RECOVERY
Active
Organization
THE CENTER FOR CHANGE AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELENA MOTTA MS LCADC LPC (PROGRAM ADMINISTRATOR)
(732) 667-5567
Entity
Organization
Contact information
Practice address
1255 BOUND BROOK RD, MIDDLESEX, NJ 08846-1437
(732) 667-5567
(732) 667-5568
Mailing address
1255 BOUND BROOK RD, MIDDLESEX, NJ 08846-1437
(732) 667-5567
(732) 667-5568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00151500
NJ
101YP2500X
Professional Counselor
37PC00419100
NJ
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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