Ymca Of Greater Monmouth County | |
90 Spruce St Lakewood NJ 08701-5329 | |
(732) 290-9040 | |
Not Available |
Full Name | Ymca Of Greater Monmouth County |
---|---|
Speciality | Community/behavioral Health |
Location | 90 Spruce St, Lakewood, New Jersey |
Authorized Official Name and Position | Leeann Wagner (VICE PRESIDENT) |
Authorized Official Contact | 7322909040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ymca Of Greater Monmouth County 166 Main St Matawan NJ 07747-3104 Ph: () - | Ymca Of Greater Monmouth County 90 Spruce St Lakewood NJ 08701-5329 Ph: (732) 290-9040 |
NPI Number | 1770135592 |
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Provider Enumeration Date | 07/11/2019 |
Last Update Date | 08/11/2020 |
Certification Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770135592 | NPI | - | NPPES |
0689963 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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