| Rewired Path | |
|
408 Bethel Rd Ste C-2 Somers Point NJ 08244-2184 | |
| (732) 778-1019 | |
| Not Available |
| Full Name | Rewired Path |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 408 Bethel Rd Ste C-2, Somers Point, New Jersey |
| Authorized Official Name and Position | Lisa Cordasco (GENERAL PARTNER) |
| Authorized Official Contact | 7327781019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rewired Path 408 Bethel Rd Ste C-2 Somers Point NJ 08244-2184 Ph: (732) 778-1019 | Rewired Path 408 Bethel Rd Ste C-2 Somers Point NJ 08244-2184 Ph: (732) 778-1019 |
| NPI Number | 1104583442 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104583442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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