Provider Demographics
NPI:1053183335
Name:LAKEWOOD COMMUNITY SERVICES CORP
Entity type:Organization
Organization Name:LAKEWOOD COMMUNITY SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY
Authorized Official - Prefix:
Authorized Official - First Name:YESHIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORCHOS CHAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-901-6001
Mailing Address - Street 1:450 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1269
Mailing Address - Country:US
Mailing Address - Phone:732-901-6001
Mailing Address - Fax:
Practice Address - Street 1:410 OBERLIN AVE S
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6903
Practice Address - Country:US
Practice Address - Phone:732-901-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty