Lakeside Recovery Center
Clinic/Center in Sicklerville, New Jersey
1750651568- Practice location
- 200 Independence Blvd, Sicklerville, NJ 08081-1092
- Phone
- 856-302-1362
- Fax
- —
- Last updated
- October 14, 2013
Lakeside Recovery Center is a healthcare organization based in Sicklerville, NJ. Lakeside Recovery Center practices in Sicklerville, NJ. The NPI Number for Lakeside Recovery Center is 1750651568 and holds a License No. 2000527-11 (NJ). The current practice location address for Lakeside Recovery Center is 200 Independence Blvd, Sicklerville, NJ 08081-1092 and can be reached out via phone at 856-302-1362.
Provider Profile Details
- NPI Number
- 1750651568
- Provider Name
- Lakeside Recovery Center
- Provider Entity Type
- Organization
- Address
- 200 Independence Blvd, Sicklerville, NJ 08081-1092
- Phone Number
- 856-302-1362
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Phyllis Weinstein, MSW, MED, LCSW, LPC, LCA · Dir Of Treatment Service · 856-302-1362
- Provider Enumeration Date
- January 10, 2012
- Last Update Date
- October 14, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Independence Blvd
Sicklerville, NJ 08081-1092 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081-1092
- Phone Number
- 856-302-1362
Provider Business Mailing Address Details
- Address
- 200 Independence Blvd
Sicklerville, NJ 08081-1092 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-1092
- Phone Number
- 856-302-1362
License Information
- License Number
- 2000527-11
- License State
- NJ
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lakeside Recovery Center?
The NPI number of Lakeside Recovery Center is 1750651568. It was assigned on January 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Lakeside Recovery Center?
Lakeside Recovery Center is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 2000527-11.
Where does Lakeside Recovery Center practice?
The practice location is 200 Independence Blvd, Sicklerville, NJ 08081-1092. The office can be reached at 856-302-1362 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750651568 directly on the NPPES registry website.