Organization
MONMOUTH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DIXON LCSW (DIRECTOR, OUTPATIENT MENTAL HEALTH)
(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
(732) 923-6500
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
44SC05431200
NJ
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
44SC05431200
NJ
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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