| Its Time For Change, Llc | |
|
4703 Boxwood Place Mays Landing NJ 08330 | |
| (609) 513-1074 | |
| Not Available |
| Full Name | Its Time For Change, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4703 Boxwood Place, Mays Landing, New Jersey |
| Authorized Official Name and Position | Otero D. Jones (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6095131074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Its Time For Change, Llc 4703 Boxwood Place Mays Landing NJ 08330 Ph: (609) 513-1074 | Its Time For Change, Llc 4703 Boxwood Place Mays Landing NJ 08330 Ph: (609) 513-1074 |
| NPI Number | 1124691522 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124691522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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