| Evolution Unlimited Access | |
|
485c Us Highway 1 S Ste 350-305 Iselin NJ 08830-3037 | |
| (732) 874-0773 | |
| (732) 694-7690 |
| Full Name | Evolution Unlimited Access |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 485c Us Highway 1 S Ste 350-305, Iselin, New Jersey |
| Authorized Official Name and Position | Khalimah Poole (OWNER/CEO) |
| Authorized Official Contact | 2018445388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Unlimited Access 1205 Bristol Station Ct Carteret NJ 07008-3091 Ph: (201) 844-5388 | Evolution Unlimited Access 485c Us Highway 1 S Ste 350-305 Iselin NJ 08830-3037 Ph: (732) 874-0773 |
| NPI Number | 1740903616 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740903616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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