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Ymca Of Greater Monmouth County

Community/Behavioral Health in Port Monmouth, NJ. Organization (NPI-2).

NPI number1982142220
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1982142220
Entity type
Organization (NPI-2)
Legal business name
Ymca Of Greater Monmouth County
Organization subpart
No
Enumeration date
Feb 7, 2017
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health100052505NJYes

Practice location

202 Main St
Port Monmouth, NJ 07758-1252

Phone 732-290-9040 · Fax 732-566-0433

Mailing address

166 Main St
Matawan, NJ 07747-3104

Phone 732-290-9040 · Fax 732-566-0433

Authorized official

Leeann Wagner
Vice President
7322909040

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