Provider Demographics
NPI:1154866655
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF HOT SPRINGS, ARKANSAS, INC.
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF HOT SPRINGS, ARKANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-623-8803
Mailing Address - Street 1:130 WERNER ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6443
Mailing Address - Country:US
Mailing Address - Phone:501-623-8803
Mailing Address - Fax:501-623-1310
Practice Address - Street 1:130 WERNER ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6443
Practice Address - Country:US
Practice Address - Phone:501-623-8803
Practice Address - Fax:501-623-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty