Provider Demographics
NPI:1093194623
Name:THE ARC OF MONMOUTH
Entity Type:Organization
Organization Name:THE ARC OF MONMOUTH
Other - Org Name:BRANCHES ACHIEVEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-493-1919
Mailing Address - Street 1:395 WARBURTON PL
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6806
Mailing Address - Country:US
Mailing Address - Phone:732-229-4414
Mailing Address - Fax:732-222-3567
Practice Address - Street 1:395 WARBURTON PL
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6806
Practice Address - Country:US
Practice Address - Phone:732-229-4414
Practice Address - Fax:732-222-3567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARC OF MONMOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-28
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services