| Lakewood Community Services Corp. | |
|
225 4th St Lakewood NJ 08701-3228 | |
| (732) 901-6001 | |
| (732) 364-7627 |
| Full Name | Lakewood Community Services Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 4th St, Lakewood, New Jersey |
| Authorized Official Name and Position | Moshe 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. 900 Forest Ave Lakewood NJ 08701-2620 Ph: (732) 901-6001 | Lakewood Community Services Corp. 225 4th St Lakewood NJ 08701-3228 Ph: (732) 901-6001 |
| NPI Number | 1053657635 |
|---|---|
| Provider Enumeration Date | 12/29/2012 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053657635 | NPI | - | NPPES |
| 0279561 | Medicaid | NJ |
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