Organization
CREATIVE CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTEE THOMAS JR. (CEO)
(609) 667-7353
Entity
Organization
Contact information
Practice address
3525 QUAKERBRIDGE RD STE 2000, TRENTON, NJ 08619-1270
(609) 667-7353
(609) 667-7944
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 667-7353
(609) 667-7944
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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