Provider Demographics
NPI:1467994145
Name:THE TUSCARAWAS COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity Type:Organization
Organization Name:THE TUSCARAWAS COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-364-5511
Mailing Address - Street 1:600 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-2047
Mailing Address - Country:US
Mailing Address - Phone:330-364-5511
Mailing Address - Fax:330-364-6291
Practice Address - Street 1:600 MONROE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2047
Practice Address - Country:US
Practice Address - Phone:330-364-5511
Practice Address - Fax:330-364-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty