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Center for Humanistic Change of NJ, Inc.

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

NPI 1114452174 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1114452174
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
SA346A (NJ)
Legal business name
CENTER FOR HUMANISTIC CHANGE OF NJ, INC.
Practice address
33 Arthur Ter
Apt. B12
Hackettstown, NJ 07840-2330
Phone
(908) 813-2841
NPI assigned
Apr 27, 2017
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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA346A NJ Yes

Addresses

Primary practice location

33 Arthur Ter
Apt. B12
Hackettstown, NJ 07840-2330

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
0553891MedicaidNJ

Other providers in Hackettstown, NJ

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

Sources for this page

Verify at the official NPI Registry.