Provider Demographics
NPI:1821545021
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF HUNTERDON COUNTY, INC
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF HUNTERDON COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-483-4328
Mailing Address - Street 1:1410 ROUTE 22 W
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3057
Mailing Address - Country:US
Mailing Address - Phone:908-782-1030
Mailing Address - Fax:908-782-0871
Practice Address - Street 1:144 W WOODSCHURCH RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-7016
Practice Address - Country:US
Practice Address - Phone:908-782-1030
Practice Address - Fax:908-782-0871
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