Organization
CREATIVE CHANGE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTEE THOMAS JR. PSY. D. (CEO)
(609) 667-7353
Entity
Organization
Contact information
Practice address
774 EAYRESTOWN RD, LUMBERTON, NJ 08048-3100
(609) 221-6817
(609) 667-7944
Mailing address
774 EAYRESTOWN RD, LUMBERTON, NJ 08048-3100
(609) 221-6817
(609) 667-7944
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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