Organization
CREATIVE CHANGE COUNSELING, INC.
Active
Parent organization
CREATIVE CHANGE COUNSELING, INC.
Other names
One Day at A Time WF-SAI
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE CHANGE COUNSELING, INC.
Authorized official
DR. BERTEE THOMAS JR. PSY.D. (CEO)
(609) 668-4719
Entity
Organization
Contact information
Practice address
322 E 5TH ST, LAKEWOOD, NJ 08701-3415
(609) 577-4310
(609) 667-7944
Mailing address
774 EAYRESTOWN RD STE 204, LUMBERTON, NJ 08048-3100
(609) 668-4719
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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