| Monarch Wellness Center | |
|
1010 Route 71 Unit 202 Spring Lake NJ 07762-3222 | |
| (908) 419-4722 | |
| (732) 280-8514 |
| Full Name | Monarch Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1010 Route 71, Spring Lake, New Jersey |
| Authorized Official Name and Position | Anna M Hudak (OWNER) |
| Authorized Official Contact | 9084194721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Wellness Center 1010 Route 71 Unit 202 Spring Lake NJ 07762-3222 Ph: (908) 419-4722 | Monarch Wellness Center 1010 Route 71 Unit 202 Spring Lake NJ 07762-3222 Ph: (908) 419-4722 |
| NPI Number | 1992126767 |
|---|---|
| Provider Enumeration Date | 12/21/2013 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 6507094869 |
|---|---|
| Medicare Enrollment ID | O20140113000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992126767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05304400 (New Jersey) | Primary |
| Provider Name | Anna M Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720166036 PECOS PAC ID: 0446388334 Enrollment ID: I20100513000946 |
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