Provider Demographics
NPI:1205381332
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF DELAWARE
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-571-6923
Mailing Address - Street 1:100 W 10TH ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-6603
Mailing Address - Country:US
Mailing Address - Phone:302-571-6908
Mailing Address - Fax:302-656-5035
Practice Address - Street 1:100 W 10TH ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-6603
Practice Address - Country:US
Practice Address - Phone:302-571-6998
Practice Address - Fax:302-250-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty