Organization
CENTER FOR MINDFUL CHANGE, LLC
Active
Other names
Kathryn A Griffiths MSW,LCSW,BCD
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN A GRIFFITHS MSW,LCSW,BCD (OWNER/MANAGER)
(973) 257-5666
Entity
Organization
Contact information
Practice address
550 W MAIN ST, BOONTON, NJ 07005-1168
(973) 257-5666
Mailing address
550 W MAIN ST, BOONTON, NJ 07005-1168
(973) 257-5666
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC04309700
NJ
Other
Enumeration date
01/30/2008
Last updated
05/20/2014
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