Provider Demographics
NPI:1306393517
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF METUCHEN, NJ
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF METUCHEN, NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-516-9200
Mailing Address - Street 1:483 MIDDLESEX AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1419
Mailing Address - Country:US
Mailing Address - Phone:732-516-9200
Mailing Address - Fax:732-516-9420
Practice Address - Street 1:483 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1419
Practice Address - Country:US
Practice Address - Phone:732-516-9200
Practice Address - Fax:732-516-9420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty