| The Community Ymca | |
|
350 Indiana Ave Long Branch NJ 07740-6120 | |
| (732) 290-9040 | |
| (732) 566-0433 |
| Full Name | The Community Ymca |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 Indiana Ave, Long Branch, 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 350 Indiana Ave Long Branch NJ 07740-6120 Ph: (732) 290-9040 |
| NPI Number | 1063958221 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063958221 | NPI | - | NPPES |
| 0332615 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100051504 (New Jersey) | Primary |
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