| Bancroft-lakeside | |
|
6 Commissioner's Pike Woodstown NJ 08098 | |
| (856) 823-6100 | |
| Not Available |
| Full Name | Bancroft-lakeside |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6 Commissioner's Pike, Woodstown, New Jersey |
| Authorized Official Name and Position | Jennifer Cripps (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8563481196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bancroft-lakeside 1255 Caldwell Road Cherry Hill NJ 08034 Ph: (856) 348-4011 | Bancroft-lakeside 6 Commissioner's Pike Woodstown NJ 08098 Ph: (856) 823-6100 |
| NPI Number | 1801279534 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801279534 | NPI | - | NPPES |
| 186396 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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