| Lotus Aba Services | |
|
1104 Route 130 N Ste J Cinnaminson NJ 08077-3032 | |
| (856) 381-4622 | |
| (856) 389-5475 |
| Full Name | Lotus Aba Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1104 Route 130 N Ste J, Cinnaminson, New Jersey |
| Authorized Official Name and Position | Tara L. Miller (OWNER) |
| Authorized Official Contact | 8563814622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Aba Services 1104 Route 130 N Ste J Cinnaminson NJ 08077-3032 Ph: (856) 381-4622 | Lotus Aba Services 1104 Route 130 N Ste J Cinnaminson NJ 08077-3032 Ph: (856) 381-4622 |
| NPI Number | 1922683432 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922683432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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