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
- City
- Sicklerville
- State
- New Jersey
- 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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