Provider Demographics
NPI:1952881757
Name:THE MONARCH CENTER
Entity type:Organization
Organization Name:THE MONARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:GOLDIE
Authorized Official - Last Name:TWERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:732-994-7566
Mailing Address - Street 1:1 MIDTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7604
Mailing Address - Country:US
Mailing Address - Phone:732-994-7566
Mailing Address - Fax:
Practice Address - Street 1:101 CHASE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-0870
Practice Address - Country:US
Practice Address - Phone:732-994-7566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty