| Long Beach Island Community Center, Inc. | |
|
4700 Long Beach Blvd Long Beach Township NJ 08008-3926 | |
| (609) 494-1554 | |
| (609) 361-9653 |
| Full Name | Long Beach Island Community Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4700 Long Beach Blvd, Long Beach Township, New Jersey |
| Authorized Official Name and Position | Robert T. Hazlett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6094941554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Beach Island Community Center, Inc. 4700 Long Beach Blvd Long Beach Township NJ 08008-3926 Ph: (609) 494-1554 | Long Beach Island Community Center, Inc. 4700 Long Beach Blvd Long Beach Township NJ 08008-3926 Ph: (609) 494-1554 |
| NPI Number | 1518909837 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518909837 | NPI | - | NPPES |
| 0094251 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (New Jersey) | Primary |
Daily Practice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 E Tennessee Ave, Long Beach Township, NJ 08008 Phone: 732-978-4856 | |
Long Beach Island Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Long Beach Blvd, Long Beach Township, NJ 08008 Phone: 609-494-8861 Fax: 609-494-1882 |