Organization
EVOLUTION UNLIMITED ACCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHALIMAH POOLE LPC, NCC (OWNER/CEO)
(201) 844-5388
Entity
Organization
Contact information
Practice address
485C US HIGHWAY 1 S STE 350-305, ISELIN, NJ 08830-3037
(732) 874-0773
(732) 694-7690
Mailing address
1205 BRISTOL STATION CT, CARTERET, NJ 07008-3091
(201) 844-5388
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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