Lakeside Recovery Center

NPI #1750651568 in Sicklerville, New Jersey

Provider Information

NPI Number
1750651568
Entity Type
Organization
Organization Name
Lakeside Recovery Center
Primary Specialty
Clinic/Center
Enumeration Date
Jan 10, 2012
Last Updated
Oct 14, 2013

Practice Location

Address
200 INDEPENDENCE BLVD
ZIP Code
08081-1092
Phone
(856) 302-1362

Authorized Official

Name
MS. PHYLLIS WEINSTEIN, MSW,MED,LCSW,LPC,LCA
Title
DIR OF TREATMENT SERVICE
Phone
(856) 302-1362

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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