Provider Demographics
NPI:1245773654
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF FRANKLIN AND GROVE CITY
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF FRANKLIN AND GROVE CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-432-2138
Mailing Address - Street 1:111 W PARK ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1365
Mailing Address - Country:US
Mailing Address - Phone:814-432-2138
Mailing Address - Fax:814-437-1167
Practice Address - Street 1:111 W PARK ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1365
Practice Address - Country:US
Practice Address - Phone:814-432-2138
Practice Address - Fax:814-437-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty