Organization Name: | 180 TURNING LIVES AROUND, INC. |
NPI Number: | 1265577290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JO ANN PALUMBO (DIRECTOR OF PROGRAM SERVICES) |
Mailing Address: | 1 Bethany Rd Bldg 3, Suite 42 Hazlet |
State: | NJ US |
Postal Code: | 077301663 |
Phone Number: | 7322644111 |
Fax Number: | 7322648655 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04801600 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |