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Contact Information

METAMORPHOSIS TRANSITIONAL LIVING
241 HUDSON ST STE 133
HACKENSACK, NJ07601-6708
 Phone: 201-255-7348
 Fax: 201-255-7352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Foster Care Agency

253J00000X
 

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for METAMORPHOSIS TRANSITIONAL LIVING

NPI # 1871254409
LBN Legal business name METAMORPHOSIS TRANSITIONAL LIVING
Authorized official MARETTA HODGES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2022
Last updated 01/05/2022 - About 4 years ago
Identifiers
NJ Other H60825187351722 NJ DRIVERS LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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