Provider Demographics
NPI:1225587785
Name:NORM WAITT SR. YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity Type:Organization
Organization Name:NORM WAITT SR. YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:NORM WAITT SR. YMCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL-CARTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-404-8439
Mailing Address - Street 1:601 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-3581
Mailing Address - Country:US
Mailing Address - Phone:402-404-8439
Mailing Address - Fax:402-404-8444
Practice Address - Street 1:601 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3581
Practice Address - Country:US
Practice Address - Phone:402-404-8439
Practice Address - Fax:402-404-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty