Provider Demographics
NPI:1811443666
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF ATTLEBOROUGH
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF ATTLEBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-222-7422
Mailing Address - Street 1:63 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2219
Mailing Address - Country:US
Mailing Address - Phone:508-222-7422
Mailing Address - Fax:508-222-4288
Practice Address - Street 1:63 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2219
Practice Address - Country:US
Practice Address - Phone:508-222-7422
Practice Address - Fax:508-222-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty