Organization
MONMOUTH HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BASS (OWNER)
(856) 558-3250
Entity
Organization
Contact information
Practice address
495 JACK MARTIN BLVD, BRICK, NJ 08724-7778
(732) 344-0596
Mailing address
495 JACK MARTIN BLVD, BRICK, NJ 08724-7778
(732) 344-0596
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0744611
—
NJ
Enumeration date
01/06/2021
Last updated
01/06/2021
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