Provider Demographics
NPI:1720535628
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF COASTAL GEORGIA INC.
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF COASTAL GEORGIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-354-5480
Mailing Address - Street 1:PO BOX 14142
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-1142
Mailing Address - Country:US
Mailing Address - Phone:912-354-5480
Mailing Address - Fax:912-354-2127
Practice Address - Street 1:6400 HABERSHAM ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5944
Practice Address - Country:US
Practice Address - Phone:912-354-5480
Practice Address - Fax:912-354-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty