| Advanced Behavioral Care Services, Llc | |
|
5 Airport Rd Lakewood NJ 08701-6902 | |
| (732) 961-9666 | |
| (732) 961-1125 |
| Full Name | Advanced Behavioral Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Airport Rd, Lakewood, New Jersey |
| Authorized Official Name and Position | Solomon Lonner (COO) |
| Authorized Official Contact | 7329619666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Care Services, Llc 5 Airport Rd Lakewood NJ 08701-6902 Ph: (732) 961-9666 | Advanced Behavioral Care Services, Llc 5 Airport Rd Lakewood NJ 08701-6902 Ph: (732) 961-9666 |
| NPI Number | 1235548470 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548470 | NPI | - | NPPES |
| 0411540 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100130105 (New Jersey) | Primary |
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