Organization
KAIZEN FOUNDATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY WHITE PHD, LPC, CCTP (LICENSED PROFESSIONAL COUNSELOR)
(856) 404-2248
Entity
Organization
Contact information
Practice address
44 COOPER ST STE 109, WOODBURY, NJ 08096-4642
(856) 404-2248
(856) 494-1345
Mailing address
44 COOPER ST STE 109, WOODBURY, NJ 08096-4642
(856) 404-2248
(856) 494-1345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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