CREATIVE CHANGE COUNSELING NPI 1235795014

NPI Information

NPI: 1235795014
Provider Name: CREATIVE CHANGE COUNSELING
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
774 EAYRESTOWN RD STE 204
LUMBERTON, NJ
ZIP 08048
Phone: (609) 668-4719
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CREATIVE CHANGE COUNSELING is a substance abuse rehabilitation facility in Lumberton, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CREATIVE CHANGE COUNSELING NPI is 1235795014. The provider is registered as an organization entity type.

The provider's business location address is:

774 EAYRESTOWN RD STE 204
LUMBERTON, NJ
ZIP 08048-100
Phone: (609) 668-4719
Fax: (609) 667-7944

The provider's authorized official is Bertee Thomas .
The authorized official title is Ceo and has the following contact phone number (609) 667-7353.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 5/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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