Organization
LAKEWOOD COMMUNITY SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE WEISBERG (PRESIDENT)
(732) 901-6001
Entity
Organization
Contact information
Practice address
225 4TH ST, LAKEWOOD, NJ 08701-3228
(732) 901-6001
(732) 364-7627
Mailing address
900 FOREST AVE, LAKEWOOD, NJ 08701-2620
(732) 901-6001
(732) 364-7627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279561
—
NJ
Enumeration date
12/29/2012
Last updated
01/15/2020
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