| Lost Souls Recovery, Llc | |
|
130 White Horse Pike Clementon NJ 08021-4159 | |
| (570) 622-9101 | |
| (570) 622-9102 |
| Full Name | Lost Souls Recovery, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 130 White Horse Pike, Clementon, New Jersey |
| Authorized Official Name and Position | Nadeem Bashir (CEO) |
| Authorized Official Contact | 5706229101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lost Souls Recovery, Llc 130 White Horse Pike Clementon NJ 08021-4159 Ph: (570) 622-9101 | Lost Souls Recovery, Llc 130 White Horse Pike Clementon NJ 08021-4159 Ph: (570) 622-9101 |
| NPI Number | 1225920408 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225920408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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