Provider Demographics
NPI:1730636770
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER WAUKESHA COUNTY, INC.
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER WAUKESHA COUNTY, INC.
Other - Org Name:YMCA OF GREATER WAUKESHA COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-454-4654
Mailing Address - Street 1:320 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-5060
Mailing Address - Country:US
Mailing Address - Phone:262-542-2557
Mailing Address - Fax:262-542-1178
Practice Address - Street 1:320 E BROADWAY
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-5060
Practice Address - Country:US
Practice Address - Phone:262-542-2557
Practice Address - Fax:262-542-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty