Organization
UNITY PLACE OF MONMOUTH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TISCHLER (AUTHORIZED OFFICIAL)
(347) 242-6502
Entity
Organization
Contact information
Practice address
1075 STEPHENSON AVE, FORT MONMOUTH, NJ 07703-1518
(848) 208-2636
Mailing address
821 WOODLAND DR, LAKEWOOD, NJ 08701-3038
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493210
—
NJ
Enumeration date
09/28/2017
Last updated
10/21/2025
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