Provider Demographics
NPI:1568897635
Name:PARENTS OF AUTISTIC CHILDREN OF OCEAN COUNTY INC
Entity Type:Organization
Organization Name:PARENTS OF AUTISTIC CHILDREN OF OCEAN COUNTY INC
Other - Org Name:POAC AUTISM SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:732-785-1099
Mailing Address - Street 1:1989 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3152
Mailing Address - Country:US
Mailing Address - Phone:732-785-1099
Mailing Address - Fax:732-785-1003
Practice Address - Street 1:1989 ROUTE 88
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3152
Practice Address - Country:US
Practice Address - Phone:732-785-1099
Practice Address - Fax:732-785-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable