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.
|Practice Location|| 4700 Long Beach Blvd, Long Beach Township, NJ 08008-3926, US |
|Practice Location Phone||609-494-1554|
|Practice Location Fax||609-361-9653|
|Legal Business Name||LONG BEACH ISLAND COMMUNITY CENTER, INC.|
|Other Organization Name||ST. FRANCIS COUNSELING SERVICE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jun 12, 2006|
|Last Update Date ? ||Oct 23, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Long Beach Island Community Center, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Counselor||Behavioral Health & Social Service Providers||Mental Health ||New Jersey|
Legacy Provider IDs of Long Beach Island Community Center, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||609-494-1554|