| Ramona A Crofoot, Llc Dba Kaleidoscope Transformations Wellness Cent | |
|
371 Lakehurst Rd Toms River NJ 08755-7393 | |
| (732) 575-3486 | |
| Not Available |
| Full Name | Ramona A Crofoot, Llc Dba Kaleidoscope Transformations Wellness Cent |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 371 Lakehurst Rd, Toms River, New Jersey |
| Authorized Official Name and Position | Ramona A. Crofoot (CEO) |
| Authorized Official Contact | 7325753486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramona A Crofoot, Llc Dba Kaleidoscope Transformations Wellness Cent 371 Lakehurst Rd Toms River NJ 08755-7393 Ph: (732) 575-3486 | Ramona A Crofoot, Llc Dba Kaleidoscope Transformations Wellness Cent 371 Lakehurst Rd Toms River NJ 08755-7393 Ph: (732) 575-3486 |
| NPI Number | 1982221479 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Certification Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982221479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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