Organization
EXPLORE TRANSFORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS WARREN-DICKINS LPC (OWNER)
(201) 779-6917
Entity
Organization
Contact information
Practice address
235 ORCHARD PL, RIDGEWOOD, NJ 07450-4903
(201) 779-6917
Mailing address
143 E RIDGEWOOD AVE # 1484, RIDGEWOOD, NJ 07450-3815
(201) 779-6917
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00618700
LICENCE
NJ
Enumeration date
08/25/2022
Last updated
08/25/2022
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