Provider Demographics
NPI:1356890701
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRE COUNTY
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-355-5551
Mailing Address - Street 1:125 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-1624
Mailing Address - Country:US
Mailing Address - Phone:814-355-5551
Mailing Address - Fax:
Practice Address - Street 1:677 W WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4538
Practice Address - Country:US
Practice Address - Phone:814-237-7717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty