Provider Demographics
NPI:1659828804
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AKRON, OHIO
Entity type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AKRON, OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLESAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-1335
Mailing Address - Street 1:50 S MAIN ST
Mailing Address - Street 2:SUITE LL100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1828
Mailing Address - Country:US
Mailing Address - Phone:330-376-1335
Mailing Address - Fax:330-376-0630
Practice Address - Street 1:477 E MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1520
Practice Address - Country:US
Practice Address - Phone:330-434-9622
Practice Address - Fax:330-434-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty