| Lakewood Community Services Corp. | |
|
415 Carey St Lakewood NJ 08701-1747 | |
| (732) 901-6001 | |
| Not Available |
| Full Name | Lakewood Community Services Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 Carey St, Lakewood, New Jersey |
| Authorized Official Name and Position | Moshe Z. Weisberg (PRESIDENT) |
| 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: () - | Lakewood Community Services Corp. 415 Carey St Lakewood NJ 08701-1747 Ph: (732) 901-6001 |
| NPI Number | 1386894590 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386894590 | NPI | - | NPPES |
| 0170054 | Medicaid | NJ | |
| 0257621 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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