| Oaks Integrated Care | |
|
402 Azure Ln Glassboro NJ 08028-2845 | |
| (609) 267-5928 | |
| Not Available |
| Full Name | Oaks Integrated Care |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 402 Azure Ln, Glassboro, New Jersey |
| Authorized Official Name and Position | Qindi Shi (CFO) |
| Authorized Official Contact | 6092675928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaks Integrated Care 770 Woodlane Rd Westampton NJ 08060-3804 Ph: (609) 267-5928 | Oaks Integrated Care 402 Azure Ln Glassboro NJ 08028-2845 Ph: (609) 267-5928 |
| NPI Number | 1578081493 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578081493 | NPI | - | NPPES |
| PENDING | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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