| Interact Program | |
|
725 Airport Rd Preferred Behavioral Health Of Nj Interact Program Lakewood NJ 08701-5968 | |
| (732) 367-8859 | |
| (732) 367-8242 |
| Full Name | Interact Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 725 Airport Rd, 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 |
|---|---|
| Interact Program Po Box 2036 Preferred Behavioral Health Of New Jersey Lakewood NJ 08701-8036 Ph: (732) 458-1700 | Interact Program 725 Airport Rd Preferred Behavioral Health Of Nj Interact Program Lakewood NJ 08701-5968 Ph: (732) 367-8859 |
| NPI Number | 1801943717 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801943717 | NPI | - | NPPES |
| 5379105 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20302-03-05A (New Jersey) | Primary |
| 251S00000X | Community/behavioral Health | 20302-03-05 (New Jersey) | Secondary |
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