Organization
AQUARIUS RISING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE NICOLE PATRIZIO LCSW (THERAPIST)
(856) 553-5076
Entity
Organization
Contact information
Practice address
230 COUNTISS AVE, LINDENWOLD, NJ 08021-2509
(856) 553-5076
Mailing address
230 COUNTISS AVE, LINDENWOLD, NJ 08021-2509
(856) 889-5243
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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