Ymca Of Greater Monmouth County | |
450 Atlantic Ave Matawan NJ 07747-2326 | |
(732) 290-9040 | |
(732) 566-0433 |
Full Name | Ymca Of Greater Monmouth County |
---|---|
Speciality | Community/behavioral Health |
Location | 450 Atlantic Ave, Matawan, New Jersey |
Authorized Official Name and Position | Leeann Wagner (OUTPATIENT DIRECTOR) |
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: (732) 290-9040 | Ymca Of Greater Monmouth County 450 Atlantic Ave Matawan NJ 07747-2326 Ph: (732) 290-9040 |
NPI Number | 1841738085 |
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Provider Enumeration Date | 02/08/2017 |
Last Update Date | 03/12/2020 |
Certification Date | 03/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841738085 | NPI | - | NPPES |
0594440 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10000521204 (New Jersey) | Primary |
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