Individual provider · Type 1 NPI
Jesse Castro
Mental Health Clinic/Center (Including Community Mental Health Center) · Lakewood, NJ
NPI number
1770290967
Active
Practice location
700 Airport Rd
Lakewood, NJ 08701-5907
Mailing address
PO Box 2036
Lakewood, NJ 08701-8036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 0029807 (NJ) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1770290967
Jesse Castro's National Provider Identifier is 1770290967, issued on Oct 28, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lakewood, NJ. The record was last updated on Oct 28, 2022.