Organization
JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY
Active
Organization
JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE A KORNFELD (EXECUTIVE DIRECTOR)
(732) 774-6886
Entity
Organization
Contact information
Practice address
25 KILMER DR STE 212, MORGANVILLE, NJ 07751-1561
(732) 774-6886
Mailing address
705 SUMMERFIELD AVE, ASBURY PARK, NJ 07712-6921
(732) 774-6886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535826
—
NJ
01
—
100980204
STATE OF NEW JERSEY DEPARTMENT OF HEALTH
NJ
Enumeration date
02/13/2023
Last updated
02/13/2023
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