Provider Demographics
NPI:1164977146
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NEW ORLEANS, LA
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NEW ORLEANS, LA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:WADGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-562-9622
Mailing Address - Street 1:320 METAIRIE HAMMOND HWY
Mailing Address - Street 2:SUITE 321
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1399
Mailing Address - Country:US
Mailing Address - Phone:504-568-9622
Mailing Address - Fax:504-821-7089
Practice Address - Street 1:320 METAIRIE HAMMOND HWY
Practice Address - Street 2:SUITE 321
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1399
Practice Address - Country:US
Practice Address - Phone:504-568-9622
Practice Address - Fax:504-821-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty