Esnj - Lacey (s) | |
15 Manchester Aveenue; Unit 10 Oakfield Plaza Forked River NJ 08731 | |
(609) 693-1398 | |
(609) 693-5197 |
Full Name | Esnj - Lacey (s) |
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Speciality | Community/behavioral Health |
Location | 15 Manchester Aveenue; Unit 10, Forked River, New Jersey |
Authorized Official Name and Position | Brian J Fitzgerald (PRESIDENT) |
Authorized Official Contact | 7322576662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Esnj - Lacey (s) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Lacey (s) 15 Manchester Aveenue; Unit 10 Oakfield Plaza Forked River NJ 08731 Ph: (609) 693-1398 |
NPI Number | 1306226063 |
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Provider Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306226063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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The Stress Center Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Lacey Rd, Suite 6, Forked River, NJ 08731 Phone: 609-693-7903 | |
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