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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X0029807 (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.