Provider Demographics
NPI:1649793795
Name:LEARNING DISABILITIES ORGANIZATION OF MONMOUTH AND OCEAN COUNTY
Entity type:Organization
Organization Name:LEARNING DISABILITIES ORGANIZATION OF MONMOUTH AND OCEAN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DILLION
Authorized Official - Middle Name:
Authorized Official - Last Name:TITUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-569-6726
Mailing Address - Street 1:PO BOX 231
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-0231
Mailing Address - Country:US
Mailing Address - Phone:1732-569-6726
Mailing Address - Fax:
Practice Address - Street 1:333 ATLANTIC CITY BLVD
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-1262
Practice Address - Country:US
Practice Address - Phone:732-569-6726
Practice Address - Fax:732-569-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health