| S0lasta Incorporated | |
|
56 Ginger Dr Lumberton NJ 08048-4204 | |
| (609) 746-0146 | |
| Not Available |
| Full Name | S0lasta Incorporated |
|---|---|
| Speciality | Counselor - Professional |
| Location | 56 Ginger Dr, Lumberton, New Jersey |
| Authorized Official Name and Position | Jennifer Martin (CEO) |
| Authorized Official Contact | 6097460146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S0lasta Incorporated 56 Ginger Dr Lumberton NJ 08048-4204 Ph: () - | S0lasta Incorporated 56 Ginger Dr Lumberton NJ 08048-4204 Ph: (609) 746-0146 |
| NPI Number | 1285292961 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285292961 | NPI | - | NPPES |
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