Organization
OCEAN MONMOUTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR CONTRACT MANAGEM)
(856) 533-8762
Entity
Organization
Contact information
Practice address
150 BRICK BLVD, BRICK, NJ 08723-7182
(732) 458-2180
(732) 458-2185
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 533-8762
(732) 458-2185
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
2000451-09
NJ
Other
Enumeration date
05/05/2010
Last updated
12/23/2019
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