| Organization Name: | MERIDIAN BEHAVIORAL HEALTH |
| NPI Number: | 1770836025 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN M AFFA (SOCIAL WORKER/INTAKE COORDINATOR) |
| Mailing Address: | 1011 Bond St Asbury Park |
| State: | NJ US |
| Postal Code: | 077125939 |
| Phone Number: | 7328692769 |
| Fax Number: | 7328979541 |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 44SL05734800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |