Organization
CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL S KUCINSKI (EXECUTIVE DIRECTOR)
(973) 691-3488
Entity
Organization
Contact information
Practice address
152 MOUNTAIN RD, FLANDERS, NJ 07836-9108
(973) 347-7987
Mailing address
12 US HIGHWAY 206, STANHOPE, NJ 07874-3269
(973) 691-3488
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH093
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553891
—
NJ
Enumeration date
04/24/2017
Last updated
11/09/2020
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