Organization
EVOLVE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA LONG LMFT (OWNER)
(844) 365-7676
Entity
Organization
Contact information
Practice address
140 S BROADWAY, PITMAN, NJ 08071-2235
(844) 365-7676
Mailing address
PO BOX 433, ELMER, NJ 08318-0433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/30/2020
Last updated
08/03/2020
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