Organization
LAKEWOOD COMMUNITY SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE Z. WEISBERG (PRESIDENT)
(732) 901-6001
Entity
Organization
Contact information
Practice address
415 CAREY ST, LAKEWOOD, NJ 08701-1747
(732) 901-6001
Mailing address
450 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170054
—
NJ
05
—
0257621
—
NJ
Enumeration date
09/24/2008
Last updated
05/02/2022
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