Provider Demographics
NPI:1821533910
Name:BEAVER COUNTY YOUNG MENS CHRISTIAN ASSOCIATION
Entity Type:Organization
Organization Name:BEAVER COUNTY YOUNG MENS CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-891-8439
Mailing Address - Street 1:2236 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15066-3205
Mailing Address - Country:US
Mailing Address - Phone:724-891-8439
Mailing Address - Fax:724-847-3923
Practice Address - Street 1:2236 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15066-3205
Practice Address - Country:US
Practice Address - Phone:724-891-8439
Practice Address - Fax:724-847-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty