Organization
LOST SOULS RECOVERY, LLC
Active
Other names
Lost Souls Recovery , LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER OTT LMFT (ADMINISTRATOR)
(856) 344-2003
Entity
Organization
Contact information
Practice address
130 WHITE HORSE PIKE, CLEMENTON, NJ 08021-4159
(856) 344-2003
Mailing address
130 WHITE HORSE PIKE, CLEMENTON, NJ 08021-4159
(856) 344-2003
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2017
Last updated
05/07/2019
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