Provider Demographics
NPI:1932651841
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF EAST LIVERPOOL OHIO
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF EAST LIVERPOOL OHIO
Other - Org Name:YMCA OF EAST LIVERPOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-383-2516
Mailing Address - Street 1:15655 STATE ROUTE 170
Mailing Address - Street 2:SUITE A2
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920
Mailing Address - Country:US
Mailing Address - Phone:330-385-6400
Mailing Address - Fax:330-385-4534
Practice Address - Street 1:15655 STATE ROUTE 170
Practice Address - Street 2:SUITE A2
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920
Practice Address - Country:US
Practice Address - Phone:330-385-6400
Practice Address - Fax:330-385-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty