| Evolve Therapeutic Services | |
|
140 S Broadway Pitman NJ 08071-2235 | |
| (844) 365-7676 | |
| Not Available |
| Full Name | Evolve Therapeutic Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 S Broadway, Pitman, New Jersey |
| Authorized Official Name and Position | Dana Long (OWNER) |
| Authorized Official Contact | 8443657676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapeutic Services Po Box 433 Elmer NJ 08318-0433 | Evolve Therapeutic Services 140 S Broadway Pitman NJ 08071-2235 Ph: (844) 365-7676 |
| NPI Number | 1548881584 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548881584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
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