Organization
CREATIVE CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTEE THOMAS JR. (CEO)
(609) 668-4719
Entity
Organization
Contact information
Practice address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 667-7353
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 667-7353
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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