Lotus Spring Llc | |
307 Prospect Ave Apt 14e Hackensack NJ 07601-2555 | |
(201) 525-1625 | |
Not Available |
Full Name | Lotus Spring Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 307 Prospect Ave Apt 14e, Hackensack, New Jersey |
Authorized Official Name and Position | Maryann Hom (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2015251625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lotus Spring Llc 307 Prospect Ave Apt 14e Hackensack NJ 07601-2555 Ph: (201) 525-1625 | Lotus Spring Llc 307 Prospect Ave Apt 14e Hackensack NJ 07601-2555 Ph: (201) 525-1625 |
NPI Number | 1013419704 |
---|---|
Provider Enumeration Date | 03/08/2018 |
Last Update Date | 03/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013419704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC (New Jersey) | Primary |
News Archive
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› Verified 5 days ago
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