Organization
THE CENTER FOR CHANGE AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELENA MOTTA MS LCADC LPC (PROGRAM ADMINISTRATOR)
(732) 667-5567
Entity
Organization
Contact information
Practice address
1255 BOUND BROOK RD, MIDDLESEX, NJ 08846-1437
(732) 667-5567
(732) 667-5568
Mailing address
1255 BOUND BROOK RD, MIDDLESEX, NJ 08846-1437
(732) 667-5567
(732) 667-5568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00151500
NJ
101YP2500X
Professional Counselor
37PC00419100
NJ
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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