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NPI Code Detail

MEDICARE: COMMUNITY CARE INC

MEDICARE: COMMUNITY CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)910100105NJ

General Provider Information

NPI Number : 1598811911
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CARE INC
Provider Business Mailing Address
First Line : 525 E COUNTY LINE RD
Second Line : SUITE 4
City : LAKEWOOD
State : NJ
Zip : 08701-1405
Country : US
Telephone Number : 732-987-5038
Fax Number : 732-987-5041
Provider Business Practice Location Address
First Line : 3443 US HIGHWAY 9
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-9153
Country : US
Telephone Number : 732-462-5553
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. MARTIN COLEMAN
Credential :
Telephone Number : 732-634-3331
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/12/2025

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Directions to “COMMUNITY CARE INC ” Practice Location

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