Provider Demographics
NPI:1750837571
Name:THE HOLYOKE YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:THE HOLYOKE YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VIENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-534-5631
Mailing Address - Street 1:171 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-4065
Mailing Address - Country:US
Mailing Address - Phone:413-534-5631
Mailing Address - Fax:413-536-9622
Practice Address - Street 1:171 PINE ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-4065
Practice Address - Country:US
Practice Address - Phone:713-534-5631
Practice Address - Fax:413-536-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty