Organization
THE TRANSFORMATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE LEIBROCK (MEDICAL BILLING SPECIALIST)
(201) 556-8210
Entity
Organization
Contact information
Practice address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 556-8210
(201) 483-8071
Mailing address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 556-8210
(201) 483-8071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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