Provider Demographics
NPI:1649302373
Name:YWCA ENID
Entity type:Organization
Organization Name:YWCA ENID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANKENSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-234-7581
Mailing Address - Street 1:525 S QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5456
Mailing Address - Country:US
Mailing Address - Phone:580-234-7581
Mailing Address - Fax:580-234-1284
Practice Address - Street 1:525 S QUINCY ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5456
Practice Address - Country:US
Practice Address - Phone:580-234-7581
Practice Address - Fax:580-234-1284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable