Provider Demographics
NPI:1568919538
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION METROPOLITAN CHATTANOOGA
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION METROPOLITAN CHATTANOOGA
Other - Org Name:YMCA OF METROPOLITAN CHATTANOOGA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-265-8834
Mailing Address - Street 1:301 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1108
Mailing Address - Country:US
Mailing Address - Phone:423-265-8834
Mailing Address - Fax:423-265-4417
Practice Address - Street 1:301 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1108
Practice Address - Country:US
Practice Address - Phone:423-265-8834
Practice Address - Fax:423-265-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty