| Chestnut Street Group Home | |
|
145 Chestnut St. Lakewood NJ 08701 | |
| (732) 886-0900 | |
| (732) 813-1516 |
| Full Name | Chestnut Street Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Chestnut St., Lakewood, New Jersey |
| Authorized Official Name and Position | Ahuva Gruen (ACCOUNTANT) |
| Authorized Official Contact | 7328860900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Street Group Home 345 Oak St Lakewood NJ 08701 Ph: (732) 886-0900 | Chestnut Street Group Home 145 Chestnut St. Lakewood NJ 08701 Ph: (732) 886-0900 |
| NPI Number | 1497267546 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497267546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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