| Evolution Therapists Llc | |
|
70 Breckenridge Dr Sicklerville NJ 08081-3266 | |
| (609) 416-1276 | |
| Not Available |
| Full Name | Evolution Therapists Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 70 Breckenridge Dr, Sicklerville, New Jersey |
| Authorized Official Name and Position | Alessandro Nicolaci (CEO) |
| Authorized Official Contact | 8563138945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Therapists Llc 2355 Westwood Blvd # 537 Los Angeles CA 90064-2109 Ph: (856) 313-8945 | Evolution Therapists Llc 70 Breckenridge Dr Sicklerville NJ 08081-3266 Ph: (609) 416-1276 |
| NPI Number | 1366216301 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366216301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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