Organization
INNER IMAGINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN STEPHENS LCSW (OWNER)
(732) 705-1082
Entity
Organization
Contact information
Practice address
482 BRICK BLVD STE 2, BRICK, NJ 08723-6077
(732) 705-1082
Mailing address
PO BOX 959, ASBURY PARK, NJ 07712-0959
(732) 705-1082
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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