| The Community Ymca | |
|
280 Park Ave Freehold NJ 07728-2006 | |
| (732) 290-9040 | |
| (732) 566-0433 |
| Full Name | The Community Ymca |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 280 Park Ave, Freehold, New Jersey |
| Authorized Official Name and Position | Leeann Wagner (DIRECTOR) |
| Authorized Official Contact | 7322909040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Ymca 166 Main St Matawan NJ 07747-3104 Ph: (732) 290-9040 | The Community Ymca 280 Park Ave Freehold NJ 07728-2006 Ph: (732) 290-9040 |
| NPI Number | 1457896045 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457896045 | NPI | - | NPPES |
| 0300519 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100051705 (New Jersey) | Primary |
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