Provider Demographics
NPI:1407399504
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER BOSTON, INC.
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER BOSTON, INC.
Other - Org Name:YMCA OF GREATER BOSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:O'S
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:671-927-8125
Mailing Address - Street 1:316 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5019
Mailing Address - Country:US
Mailing Address - Phone:617-927-8040
Mailing Address - Fax:
Practice Address - Street 1:316 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5019
Practice Address - Country:US
Practice Address - Phone:617-927-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty