Provider Demographics
NPI:1659822047
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF PIERCE AND KITSAP COUNTIES
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF PIERCE AND KITSAP COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-534-7812
Mailing Address - Street 1:4717 S 19TH ST
Mailing Address - Street 2:#201
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1167
Mailing Address - Country:US
Mailing Address - Phone:253-534-7800
Mailing Address - Fax:253-566-9657
Practice Address - Street 1:4717 S 19TH ST
Practice Address - Street 2:#201
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1167
Practice Address - Country:US
Practice Address - Phone:253-534-7800
Practice Address - Fax:253-566-9657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty