Provider Demographics
NPI:1467904771
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NASHUA
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER NASHUA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-689-2413
Mailing Address - Street 1:10 COTTON RD # 1
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1213
Mailing Address - Country:US
Mailing Address - Phone:603-598-1533
Mailing Address - Fax:603-864-8315
Practice Address - Street 1:10 COTTON RD # 1
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1213
Practice Address - Country:US
Practice Address - Phone:603-598-1533
Practice Address - Fax:603-864-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty