Provider Demographics
NPI:1295260222
Name:LITTLE HILL FOUNDATION DBA NORTH WARREN COUNSELING CENTER
Entity type:Organization
Organization Name:LITTLE HILL FOUNDATION DBA NORTH WARREN COUNSELING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RACZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-362-5700
Mailing Address - Street 1:13 STILLWATER RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-9554
Mailing Address - Country:US
Mailing Address - Phone:908-362-5700
Mailing Address - Fax:908-362-5715
Practice Address - Street 1:13 STILLWATER RD
Practice Address - Street 2:
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825-9554
Practice Address - Country:US
Practice Address - Phone:908-362-6114
Practice Address - Fax:908-362-1486
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LITTLE HILL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-27
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1000032251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health