Provider Demographics
NPI:1922555911
Name:ARLINGTON-MANSFIELD AREA YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity Type:Organization
Organization Name:ARLINGTON-MANSFIELD AREA YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-299-9629
Mailing Address - Street 1:1148 W PIONEER PKWY STE H
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6385
Mailing Address - Country:US
Mailing Address - Phone:817-299-9629
Mailing Address - Fax:817-977-9378
Practice Address - Street 1:7201 S COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001
Practice Address - Country:US
Practice Address - Phone:817-419-9629
Practice Address - Fax:817-977-9437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty