Provider Demographics
NPI:1932656113
Name:THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER LAURENS
Entity Type:Organization
Organization Name:THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER LAURENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-984-2626
Mailing Address - Street 1:410 ANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-1755
Mailing Address - Country:US
Mailing Address - Phone:864-984-2626
Mailing Address - Fax:864-984-6089
Practice Address - Street 1:410 ANDERSON DR
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-1755
Practice Address - Country:US
Practice Address - Phone:864-984-2626
Practice Address - Fax:864-984-6089
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