Organization
TWIN OAKS COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUNDI SHI (CFO)
(609) 267-5928
Entity
Organization
Contact information
Practice address
205 W BRANCH AVE, PINE HILL, NJ 08021-7084
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
APPLYING FOR MEDICAID PROVIDER NUMBER
—
Enumeration date
06/17/2013
Last updated
06/17/2013
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