Provider Demographics
NPI:1164979100
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF STEVENS POINT, WISCONSIN AREA,INC
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF STEVENS POINT, WISCONSIN AREA,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-342-2980
Mailing Address - Street 1:1000 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2724
Mailing Address - Country:US
Mailing Address - Phone:715-342-2980
Mailing Address - Fax:715-342-2987
Practice Address - Street 1:1000 DIVISION ST
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2724
Practice Address - Country:US
Practice Address - Phone:715-342-2980
Practice Address - Fax:715-342-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty