Organization
FAMILY AND YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN LASANTA LCSW (OWNER)
(848) 252-8625
Entity
Organization
Contact information
Practice address
330 MILLTOWN RD STE E22, EAST BRUNSWICK, NJ 08816-2287
(848) 252-8625
Mailing address
330 MILLTOWN RD STE E22, EAST BRUNSWICK, NJ 08816-2287
(848) 252-8625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05444600
NJ
Other
Enumeration date
08/27/2016
Last updated
04/04/2024
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