Healthcare Provider Details

I. General information

NPI: 1578998084
Provider Name (Legal Business Name): TOWNSHIP OF OCEAN DEPARTMENT OF HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DEAL RD
OCEAN NJ
07712-3622
US

IV. Provider business mailing address

601 DEAL RD
OCEAN NJ
07712-3622
US

V. Phone/Fax

Practice location:
  • Phone: 732-531-2600
  • Fax: 732-517-8567
Mailing address:
  • Phone: 732-531-2600
  • Fax: 732-517-8567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2000194
License Number StateNJ

VIII. Authorized Official

Name: SHARON MOLESKI
Title or Position: COMMUNITY SERVICES DIRECTOR
Credential: LPC, LCADC
Phone: 732-531-2600