| The Community Ymca | |
|
376 Maple Pl Keyport NJ 07735-1148 | |
| (732) 290-9040 | |
| (732) 566-0433 |
| Full Name | The Community Ymca |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 376 Maple Pl, Keyport, New Jersey |
| Authorized Official Name and Position | Leeann Wagner (OUTPATIENT DIRECTOR) |
| Authorized Official Contact | 73229209040 |
| 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 376 Maple Pl Keyport NJ 07735-1148 Ph: (732) 290-9040 |
| NPI Number | 1548708787 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548708787 | NPI | - | NPPES |
| 0410152 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100052305 (New Jersey) | Primary |
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