Organization
ELITE INTEGRATED HEALTH LLC
Active
Other names
Elite mental health and wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIA NICOLA GROOMS DNP (OWNER)
(856) 956-1000
Entity
Organization
Contact information
Practice address
432 GANTTOWN RD STE 103, SEWELL, NJ 08080-1895
(856) 965-1000
Mailing address
521 SICKLERVILLE RD STE 3, SICKLERVILLE, NJ 08081-2636
(856) 956-1000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/13/2023
Last updated
01/09/2025
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