| Elevate & Evolve Wellness Center Llc | |
|
1706 Manhattan Ave Union City NJ 07087-5473 | |
| (862) 235-8736 | |
| Not Available |
| Full Name | Elevate & Evolve Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1706 Manhattan Ave, Union City, New Jersey |
| Authorized Official Name and Position | Cindy Merced (CEO) |
| Authorized Official Contact | 8622358736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate & Evolve Wellness Center Llc 1706 Manhattan Ave Union City NJ 07087-5473 Ph: (862) 235-8736 | Elevate & Evolve Wellness Center Llc 1706 Manhattan Ave Union City NJ 07087-5473 Ph: (862) 235-8736 |
| NPI Number | 1376277244 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376277244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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