| Dare Program | |
|
700 Airport Road Preferred Behavioral Health Dare Program Lakewood NJ 08701 | |
| (732) 367-4700 | |
| (732) 364-2253 |
| Full Name | Dare Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Airport Road, Lakewood, New Jersey |
| Authorized Official Name and Position | Julie Vanore (CAO) |
| Authorized Official Contact | 7324581700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dare Program P.o. Box 2036 Preferred Behavioral Health Of New Jersey Lakewood NJ 08701 Ph: (732) 458-1700 | Dare Program 700 Airport Road Preferred Behavioral Health Dare Program Lakewood NJ 08701 Ph: (732) 367-4700 |
| NPI Number | 1467519728 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467519728 | NPI | - | NPPES |
| 5348501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20302-12-05 (New Jersey) | Primary |
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