Provider Demographics
NPI:1205297827
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHERN MIDDLESEX COUNTY, INC.
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHERN MIDDLESEX COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:RULNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-343-6217
Mailing Address - Street 1:99 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3427
Mailing Address - Country:US
Mailing Address - Phone:860-347-6907
Mailing Address - Fax:
Practice Address - Street 1:99 UNION ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3427
Practice Address - Country:US
Practice Address - Phone:860-347-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty