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Center for Humanistic Change of NJ, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Flanders, NJ

NPI 1093240459 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1093240459
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
GH093 (NJ)
Legal business name
CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Practice address
152 Mountain Rd
Flanders, NJ 07836-9108
Phone
(973) 347-7987
NPI assigned
Apr 24, 2017
Organization subpart
No

Authorized official

Name
Mr. Paul S Kucinski
Title
Executive Director
Phone
(973) 691-3488

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Center for Humanistic Change of NJ Inc (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH093 NJ Yes

Addresses

Primary practice location

152 Mountain Rd
Flanders, NJ 07836-9108

Mailing address

12 US Highway 206
Stanhope, NJ 07874-3269
Phone (973) 691-3488

Other identifiers

IdentifierTypeStateIssuer
0553891MedicaidNJ

Other providers in Flanders, NJ

All providers in Flanders, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.