Provider Demographics
NPI:1154775252
Name:MONMOUTH COUNTY BOARD OF RECREATION COMMISSIONERS
Entity type:Organization
Organization Name:MONMOUTH COUNTY BOARD OF RECREATION COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUNCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-842-4000
Mailing Address - Street 1:805 NEWMAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1628
Mailing Address - Country:US
Mailing Address - Phone:732-460-1167
Mailing Address - Fax:732-460-1168
Practice Address - Street 1:805 NEWMAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1628
Practice Address - Country:US
Practice Address - Phone:732-460-1167
Practice Address - Fax:732-460-1168
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONMOUTH COUNTY BOARD OF CHOSEN FREEHOLDERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health