Provider Demographics
NPI:1205378734
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF YOUNGSTOWN OH
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF YOUNGSTOWN OH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GACSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-742-4799
Mailing Address - Street 1:17 N CHAMPION ST
Mailing Address - Street 2:P.O. BOX 1287
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44503-1602
Mailing Address - Country:US
Mailing Address - Phone:330-744-8411
Mailing Address - Fax:330-746-0068
Practice Address - Street 1:45 MCCLURG RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-480-5656
Practice Address - Fax:330-259-9627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty