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Long Beach Island Community Center, Inc.

Long Beach Island Community Center, Inc. is a health care provider in Long Beach Township, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 4700 Long Beach Blvd, Long Beach Township, NJ 08008-3926, US
Practice Location Phone609-494-1554
Practice Location Fax609-361-9653
Legal Business NameLONG BEACH ISLAND COMMUNITY CENTER, INC.
Other Organization NameST. FRANCIS COUNSELING SERVICE
Other Organization Name TypeDoing Business As Name
NPI ?1518909837
Entity TypeOrganization
Enumeration Date ? Jun 12, 2006
Last Update Date ? Oct 23, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Long Beach Island Community Center, Inc.

SpecialtySpecializationLicenseLicense State
CounselorMental Health New Jersey

legacy-id-icon Legacy Provider IDs of Long Beach Island Community Center, Inc.

Provider IdIssuer StateIssuer TypeIssuer
0094251New JerseyMedicaid

official-icon Authorized Official of Long Beach Island Community Center, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Long Beach Island Community Center, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Robert T. Hazlett (LCSW, PH.D)
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number609-494-1554