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Organization

2 CHANGE OF HEARTS

Active
Other names
A Change of heart
Organization subpart
No

Provider details

NPI number
Authorized official
SHATAYA BOSWELL MSW (DIRECTOR)
(848) 299-2064
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/23/2024
Last updated
04/02/2025
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