Provider Demographics
NPI:1114460524
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY
Other - Org Name:Y TEAM
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-451-8039
Mailing Address - Street 1:2330 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2415
Mailing Address - Country:US
Mailing Address - Phone:510-451-9622
Mailing Address - Fax:
Practice Address - Street 1:263 S 20TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804
Practice Address - Country:US
Practice Address - Phone:510-262-6551
Practice Address - Fax:510-222-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty