| Aquarius Rising, Llc | |
|
230 Countiss Ave Lindenwold NJ 08021-2509 | |
| (856) 553-5076 | |
| Not Available |
| Full Name | Aquarius Rising, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 Countiss Ave, Lindenwold, New Jersey |
| Authorized Official Name and Position | Rosemarie Nicole Patrizio (THERAPIST) |
| Authorized Official Contact | 8565535076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquarius Rising, Llc 230 Countiss Ave Lindenwold NJ 08021-2509 Ph: (856) 889-5243 | Aquarius Rising, Llc 230 Countiss Ave Lindenwold NJ 08021-2509 Ph: (856) 553-5076 |
| NPI Number | 1235893660 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235893660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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