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Center for Humanistic Change of NJ, Inc.

Organization Active NPI Developmentally Disabled Services Day Training Agency · Stanhope, NJ

NPI 1104378728 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1104378728
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Practice address
12 US Highway 206
Stanhope, NJ 07874-3269
Phone
(973) 691-3488
Fax
(973) 691-2797
NPI assigned
Oct 31, 2016
Organization subpart
No

Authorized official

Name
Mr. Paul Steven 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)

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

12 US Highway 206
Stanhope, NJ 07874-3269

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
0553891MedicaidNJ

Other providers in Stanhope, NJ

All providers in Stanhope, NJ · Developmentally Disabled Services Day Training Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.