Organization · Type 2 NPI
Changing Tides Wellness Center LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Marlton, NJ
NPI number
1174304190
Active
Practice location
1000 Lincoln Dr E Ste 2
Marlton, NJ 08053-1566
Mailing address
199 North Woodbury Rd.
Pitman, NJ 08071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1174304190
Changing Tides Wellness Center LLC's National Provider Identifier is 1174304190, issued on Oct 6, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Marlton, NJ. The record was last updated on Nov 29, 2023.