Organization
EVOLUTION THERAPISTS LLC
Active
Other names
Evolution Therapists
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRO NICOLACI (CEO)
(856) 313-8945
Entity
Organization
Contact information
Practice address
70 BRECKENRIDGE DR, SICKLERVILLE, NJ 08081-3266
(609) 416-1276
Mailing address
2355 WESTWOOD BLVD # 537, LOS ANGELES, CA 90064-2109
(856) 313-8945
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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