Generationsof Change, LLC
NPI #1124394531 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1124394531
- Entity Type
- Organization
- Organization Name
- Generationsof Change, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 29, 2012
- Last Updated
- Mar 29, 2012
Practice Location
- Address
- 13 MUNICIPAL PLZ
- Address 2
- #2504
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-7200
- Phone
- (973) 223-2172
Authorized Official
- Name
- MR. RICHARD GREENE, L.C.S.W,, A.C.S.W
- Title
- OWNER
- Phone
- (973) 223-2172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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