JESSE CASTRO

LAKEWOOD, NJ
NPI1770290967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: NJ  0029807)
Enumeration Date2022-10-28
Last Update Date2022-10-28
Business Address
JESSE CASTRO
700 AIRPORT RD
LAKEWOOD, NJ 08701-5907
Phone number: 732-367-4700
Mailing Address
JESSE CASTRO
PO BOX 2036
LAKEWOOD, NJ 08701-8036
Phone number:
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