Provider Demographics
NPI:1659774362
Name:GOOD NEWS HOME, INC
Entity Type:Organization
Organization Name:GOOD NEWS HOME, INC
Other - Org Name:GOOD NEWS HOME FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINFREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC, LCSW
Authorized Official - Phone:908-806-4220
Mailing Address - Street 1:33 BARTLES CORNER RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5720
Mailing Address - Country:US
Mailing Address - Phone:908-806-4220
Mailing Address - Fax:908-806-4290
Practice Address - Street 1:33 BARTLES CORNER RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5720
Practice Address - Country:US
Practice Address - Phone:908-806-4220
Practice Address - Fax:908-806-4290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1000039324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility