| Above Water Recovery Llc | |
|
536 Maple Ave Linwood NJ 08221-1213 | |
| (609) 517-0423 | |
| Not Available |
| Full Name | Above Water Recovery Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 536 Maple Ave, Linwood, New Jersey |
| Authorized Official Name and Position | Kerry J Sullivan (OWNER) |
| Authorized Official Contact | 6095132875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Above Water Recovery Llc 536 Maple Ave Linwood NJ 08221-1213 Ph: (609) 517-0423 | Above Water Recovery Llc 536 Maple Ave Linwood NJ 08221-1213 Ph: (609) 517-0423 |
| NPI Number | 1619701745 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619701745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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