Evolvenchange, LLC

NPI #1013588862 in Laurel Springs, New Jersey

Provider Information

NPI Number
1013588862
Entity Type
Organization
Organization Name
Evolvenchange, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jul 2, 2021
Last Updated
Jul 2, 2021

Practice Location

Address
1451 CHEWS LANDING RD STE 207
ZIP Code
08021-2766
Phone
(856) 341-2208

Authorized Official

Name
LETISHA HOGANS, APN
Title
PSYCHIATRIC MENTAL HEALTH NURSE PRA
Phone
(609) 422-0923

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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