Organization
INNER OASIS PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA DOMNGUEZ (PSYCHOTHERAPIST)
(862) 397-1078
Entity
Organization
Contact information
Practice address
6302 POLK ST, WEST NEW YORK, NJ 07093
(862) 397-1078
Mailing address
1631 DEL PRADO BLVD S STE 300, CAPE CORAL, FL 33990-6740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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