| Ymca Of Greater Monmouth County | |
|
235 Ocean Ave North Middletown NJ 07748-5669 | |
| (732) 290-9040 | |
| (732) 566-0433 |
| Full Name | Ymca Of Greater Monmouth County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 235 Ocean Ave, North Middletown, 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 235 Ocean Ave North Middletown NJ 07748-5669 Ph: (732) 290-9040 |
| NPI Number | 1508304841 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508304841 | NPI | - | NPPES |
| 0411302 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100052405 (New Jersey) | Primary |
Embracing Stages Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 151 Ocean Ave, North Middletown, NJ 07748 Phone: 201-449-4687 | |
Cornerstone Aba Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Kentucky Ave, North Middletown, NJ 07748 Phone: 732-947-7541 |