Organization
MONMOUTH BEHAVIORAL THERAPY GROUP, CORP
Active
Parent organization
THE FORT ADULT DAY PROGRAM
Other names
The fort adult day program
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE FORT ADULT DAY PROGRAM
Authorized official
ANNA NICOLAS (OWNER)
(732) 687-2418
Entity
Organization
Contact information
Practice address
1000 SANGER AVE, OCEANPORT, NJ 07757-1241
(732) 687-2418
(732) 865-7187
Mailing address
1000 SANGER AVE, OCEANPORT, NJ 07757-1241
(732) 687-2418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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