Organization
OAKS INTEGRATED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINDI SHI (CFO)
(609) 267-5928
Entity
Organization
Contact information
Practice address
113A W BLUEBELL LN, MOUNT LAUREL, NJ 08054-3509
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
08/30/2017
Last updated
06/16/2018
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