Organization
WIND OF CHANGE FOUNDATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE LAVALY (PRESIDENT)
(240) 513-0912
Entity
Organization
Contact information
Practice address
2926 WESTFIELD AVE, CAMDEN, NJ 08105-2430
(240) 513-0912
Mailing address
2926 WESTFIELD AVE, CAMDEN, NJ 08105-2430
(240) 513-0912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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