NPI 1013419704

Lotus Spring LLC

Organisation Community/Behavioral Health Agency Hackensack, NJ

Practice location

Address: 307 Prospect Ave APT 14e, Hackensack, NJ 07601-2555
Phone: (201) 525-1625

Authorised official

Name: Maryann Hom
Title: Clinical Social Worker
Phone: (201) 525-1625

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 44SC (NJ)

Other Community/Behavioral Health providers in New Jersey →

Registry record

NPI: 1013419704
Entity type: Organization
NPI issued: 8 Mar 2018
Record last updated: 8 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.