Provider Demographics
NPI:1518416569
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF MONROE, MICHIGAN
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF MONROE, MICHIGAN
Other - Org Name:THE MONROE FAMILY YMCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-241-2606
Mailing Address - Street 1:1111 W ELM AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2885
Mailing Address - Country:US
Mailing Address - Phone:734-241-2606
Mailing Address - Fax:734-241-5062
Practice Address - Street 1:1111 W ELM AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2885
Practice Address - Country:US
Practice Address - Phone:734-241-2606
Practice Address - Fax:734-241-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty