Organization
CHRISTINE B. LILL LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE B. LILL LCSW (OWNER)
(732) 240-0509
Entity
Organization
Contact information
Practice address
802 MAIN ST, SUITE 1A, TOMS RIVER, NJ 08753-6576
(732) 240-0509
(732) 240-7435
Mailing address
929 RIVERSIDE DR, PINE BEACH, NJ 08741-1340
(732) 286-9360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC04634800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649496894
INDIVIDUAL NPI
—
Enumeration date
03/23/2011
Last updated
03/23/2011
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