Provider Demographics
NPI:1497394191
Name:YOUNG WOMEN'S CHRISTIAN ASSOCIATON OF GETTYSBURG & ADAMS COUNTY
Entity Type:Organization
Organization Name:YOUNG WOMEN'S CHRISTIAN ASSOCIATON OF GETTYSBURG & ADAMS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DANE
Authorized Official - Last Name:DORSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-334-9171
Mailing Address - Street 1:909 FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7244
Mailing Address - Country:US
Mailing Address - Phone:717-334-9171
Mailing Address - Fax:
Practice Address - Street 1:909 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7244
Practice Address - Country:US
Practice Address - Phone:717-334-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty