Lotus Spring LLC
NPI #1013419704 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1013419704
- Entity Type
- Organization
- Organization Name
- Lotus Spring LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 307 PROSPECT AVE APT 14E
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2555
- Phone
- (201) 525-1625
Authorized Official
- Name
- MARYANN HOM, LCSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (201) 525-1625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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