Organization
MONMOUTH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. DIXON LCSW (DIRECTOR OF OUTPATIENT BEHAVIORAL H)
(732) 923-5222
Entity
Organization
Contact information
Practice address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-6500
Mailing address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05344000
NJ
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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