| Lakeside Recovery Center | |
|
200 Independence Blvd Sicklerville NJ 08081-1092 | |
| (856) 302-1362 | |
| Not Available |
| Full Name | Lakeside Recovery Center |
|---|---|
| Speciality | Clinic/center |
| Location | 200 Independence Blvd, Sicklerville, New Jersey |
| Authorized Official Name and Position | Phyllis Weinstein (DIR OF TREATMENT SERVICE) |
| Authorized Official Contact | 8563021362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Recovery Center 200 Independence Blvd Sicklerville NJ 08081-1092 Ph: (856) 302-1362 | Lakeside Recovery Center 200 Independence Blvd Sicklerville NJ 08081-1092 Ph: (856) 302-1362 |
| NPI Number | 1750651568 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750651568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2000527-11 (New Jersey) | Primary |
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