Provider Demographics
NPI:1659816908
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE NORTH SHORE, INC.
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE NORTH SHORE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-922-0990
Mailing Address - Street 1:245 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4511
Mailing Address - Country:US
Mailing Address - Phone:978-922-0990
Mailing Address - Fax:
Practice Address - Street 1:245 CABOT ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4511
Practice Address - Country:US
Practice Address - Phone:978-922-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty