Organization
THE HANSEN FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANGELO (REIMBURSEMENT DIRECTOR)
(609) 270-4006
Entity
Organization
Contact information
Practice address
4 E JIMMIE LEEDS RD STE 3, GALLOWAY, NJ 08205-4465
(609) 965-3700
(609) 965-4666
Mailing address
4 E JIMMIE LEEDS RD STE 3, GALLOWAY, NJ 08205-4465
(609) 965-3700
(609) 965-4666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501
—
NJ
Enumeration date
03/11/2020
Last updated
09/11/2025
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