Provider Demographics
NPI:1871045864
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF ANDERSON
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF ANDERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-716-6262
Mailing Address - Street 1:201 E REED RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2095
Mailing Address - Country:US
Mailing Address - Phone:864-716-6261
Mailing Address - Fax:864-716-6265
Practice Address - Street 1:201 E REED RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2095
Practice Address - Country:US
Practice Address - Phone:864-716-6261
Practice Address - Fax:864-716-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty