Organization
HEALING HEARTS FOR A FRESH START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BOSTICK (CEO)
(973) 464-4548
Entity
Organization
Contact information
Practice address
1536 STATE ROUTE 23, WAYNE, NJ 07470-7516
(973) 464-4548
Mailing address
1536 STATE ROUTE 23, WAYNE, NJ 07470-7516
(973) 464-4548
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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