Provider Demographics
NPI:1699210666
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL VIRGINIA
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:434-616-4590
Mailing Address - Street 1:801 WYNDHURST DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2550
Mailing Address - Country:US
Mailing Address - Phone:434-582-1900
Mailing Address - Fax:
Practice Address - Street 1:801 WYNDHURST DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2550
Practice Address - Country:US
Practice Address - Phone:434-582-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty