Center For Humanistic Change Of Nj, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Andover, New Jersey
1629503081- Practice location
- 87 Decker Pond RD, Andover, NJ 07821-2012
- Phone
- 908-852-8286
- Fax
- —
- Last updated
- November 9, 2020
Center For Humanistic Change Of Nj, INC. is a healthcare organization based in Andover, NJ. Center For Humanistic Change Of Nj, INC. practices in Andover, NJ. The NPI Number for Center For Humanistic Change Of Nj, INC. is 1629503081 and holds a License No. GH139 (NJ). The current practice location address for Center For Humanistic Change Of Nj, INC. is 87 Decker Pond RD, Andover, NJ 07821-2012 and can be reached out via phone at 908-852-8286.
Provider Profile Details
- NPI Number
- 1629503081
- Provider Name
- Center For Humanistic Change Of Nj, INC.
- Provider Entity Type
- Organization
- Address
- 87 Decker Pond RD, Andover, NJ 07821-2012
- Phone Number
- 908-852-8286
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Paul Steven Kucinski · Executive Director · 973-691-3488
- Provider Enumeration Date
- April 24, 2017
- Last Update Date
- November 9, 2020
- Certification Date
- November 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 Decker Pond RD
Andover, NJ 07821-2012 - City
- Andover
- State
- New Jersey
- Zip
- 07821-2012
- Phone Number
- 908-852-8286
Provider Business Mailing Address Details
- Address
- 12 US Highway 206
Stanhope, NJ 07874-3269 - City
- Stanhope
- State
- NJ
- Zip
- 07874-3269
- Phone Number
- 973-691-3488
License Information
- License Number
- GH139
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Center For Humanistic Change Of Nj, INC.?
The NPI number of Center For Humanistic Change Of Nj, INC. is 1629503081. It was assigned on April 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Center For Humanistic Change Of Nj, INC.?
Center For Humanistic Change Of Nj, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH139.
Where does Center For Humanistic Change Of Nj, INC. practice?
The practice location is 87 Decker Pond RD, Andover, NJ 07821-2012. The office can be reached at 908-852-8286 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629503081 directly on the NPPES registry website.