| Lakewood Community Services Corp | |
|
725 Vassar Ave Lakewood NJ 08701-6908 | |
| (732) 901-6001 | |
| Not Available |
| Full Name | Lakewood Community Services Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 725 Vassar Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | C. Gershbaum (BILLING MANAGER) |
| Authorized Official Contact | 7329016001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Community Services Corp 450 W Kennedy Blvd Lakewood NJ 08701-1269 Ph: (732) 901-6001 | Lakewood Community Services Corp 725 Vassar Ave Lakewood NJ 08701-6908 Ph: (732) 901-6001 |
| NPI Number | 1235907064 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235907064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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