Provider Demographics
NPI:1508267311
Name:MONARCH CHILDREN'S CONNECTIONS
Entity Type:Organization
Organization Name:MONARCH CHILDREN'S CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:PERROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:914-318-5088
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:ROCK TAVERN
Mailing Address - State:NY
Mailing Address - Zip Code:12575-0121
Mailing Address - Country:US
Mailing Address - Phone:914-318-5088
Mailing Address - Fax:845-391-8552
Practice Address - Street 1:196 SARA LN
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2597
Practice Address - Country:US
Practice Address - Phone:914-318-5088
Practice Address - Fax:845-391-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency