Organization
ATOMIC CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS BASS JR. (OWNER)
(609) 414-0519
Entity
Organization
Contact information
Practice address
319 W 4TH ST, PALMYRA, NJ 08065-1406
(609) 414-0519
Mailing address
319 W 4TH ST, PALMYRA, NJ 08065-1406
(609) 414-0519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
09/10/2025
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