Basic Information
| Provider Information | |||||||||
| NPI: | 1336555341 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TWIN OAKS COMMUNITY SERVIES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32 ARCHERTOWN RD | ||||||||
| Address2: | |||||||||
| City: | NEW EGYPT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085331901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6097580840 | ||||||||
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| Practice Location | |||||||||
| Address1: | 770 WOODLANE RD | ||||||||
| Address2: | |||||||||
| City: | WESTAMPTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080603804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092675928 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2014 | ||||||||
| LastUpdateDate: | 07/10/2014 | ||||||||
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| AuthorizedOfficialLastName: | SINCAK | ||||||||
| AuthorizedOfficialFirstName: | LAUREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CASE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9086927806 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 305R00000X | Y | Managed Care Organizations | Preferred Provider Organization |
No ID Information.