Organization
GENERATIONSOF CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GREENE L.C.S.W,, A.C.S.W (OWNER)
(973) 223-2172
Entity
Organization
Contact information
Practice address
13 MUNICIPAL PLZ, #2504, BLOOMFIELD, NJ 07003-7200
(973) 223-2172
(973) 675-2251
Mailing address
13 MUNICIPAL PLZ, #2504, BLOOMFIELD, NJ 07003-7200
(973) 223-2172
(973) 675-2251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05463500
NJ
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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