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1400 Prospect Street Lakewood NJ 08701 | |
| (732) 367-0099 | |
| (732) 367-1518 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Prospect Street, Lakewood, New Jersey |
| Authorized Official Name and Position | Chaya Bender (DIRECTOR) |
| Authorized Official Contact | 7323670099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1400 Prospect Street Lakewood NJ 08701 Ph: (732) 367-0099 | 1400 Prospect Street Lakewood NJ 08701 Ph: (732) 367-0099 |
| NPI Number | 1982817219 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982817219 | NPI | - | NPPES |
| 0090158 | Medicaid | NJ |
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