Healthcare Provider Details

I. General information

NPI: 1558845248
Provider Name (Legal Business Name): MBS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 NEPTUNE PL
NORTH MIDDLETOWN NJ
07748-5753
US

IV. Provider business mailing address

60 NEPTUNE PL
NORTH MIDDLETOWN NJ
07748-5753
US

V. Phone/Fax

Practice location:
  • Phone: 732-266-1792
  • Fax:
Mailing address:
  • Phone: 732-266-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MARIE A. GARON
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: MSN, PMHNP-BC
Phone: 848-202-2801