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NPI Code Detail

MEDICARE: THE COMMUNITY YMCA FAMILY SERVICES

MEDICARE: THE COMMUNITY YMCA FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376600221
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE COMMUNITY YMCA FAMILY SERVICES
Provider Business Mailing Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-774-1558
Fax Number : 732-774-9465
Provider Business Practice Location Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-774-1558
Fax Number : 732-774-9465
Authorized Official
Title or Position : VP FAMILY AND HUMAN SERVICES
Name : MR. GEORGE HUNT
Credential : LCSW
Telephone Number : 732-774-1558
Provider Enumeration Date : 01/02/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1548326069 — THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE JERSEY SHORE
Practice Location Address:
166 MAIN ST
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07747-3104
Practice Phone: 732-290-9040
Practice Fax: 732-566-0433
1710041108 — PAMELA MALLOY MA, NCC, LPC
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1114076668 — MELINDA LISNY LCSW,LCADC
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax:
1154460772 — MS. IRENE PAONI LCSW
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax: 732-566-0433
1396965240 — MR. STEPHEN J LAZAR C.A.D.C.
Practice Location Address:
166 MAIN ST
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1205040284 — MS. LISA ANN CLOUSE MSW
Practice Location Address:
166 MAIN ST
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Practice Phone: 732-566-7054
Practice Fax:

Directions to “THE COMMUNITY YMCA FAMILY SERVICES ” Practice Location

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