Provider Demographics
NPI:1790515799
Name:MONARCH BEHAVIORAL HEALTH NETWORK
Entity type:Organization
Organization Name:MONARCH BEHAVIORAL HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:AZNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-362-4629
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-0495
Mailing Address - Country:US
Mailing Address - Phone:201-362-4629
Mailing Address - Fax:
Practice Address - Street 1:1400 HOOPER AVE STE 2
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2981
Practice Address - Country:US
Practice Address - Phone:201-669-5411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty