Provider Demographics
NPI:1881494425
Name:SHASTA COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:SHASTA COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR YOUTH & STAFF DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ-VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-246-9622
Mailing Address - Street 1:1155 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0437
Mailing Address - Country:US
Mailing Address - Phone:530-246-9622
Mailing Address - Fax:530-246-9645
Practice Address - Street 1:1155 N COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0437
Practice Address - Country:US
Practice Address - Phone:530-246-9622
Practice Address - Fax:530-246-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management