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General NPI Number Information
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NPI Number | 1659774362
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Entity Type | Organization
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Legal Business Name | GOOD NEWS HOME, INC
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 33 BARTLES CORNER RD
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5720
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Country | US
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Telephone | 908-806-4220
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Fax | 908-806-4290
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Provider Business Mailing Address
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Address Line | 33 BARTLES CORNER RD
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5720
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Country | US
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Telephone | 908-806-4220
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Fax | 908-806-4290
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ERNESTINE WINFREY
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Credential | LCADC, LCSW
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Telephone | 908-806-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1000039
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License Number State | NJ
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