Provider Demographics
NPI:1982156923
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GOLDEN CRESCENT, INC.
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GOLDEN CRESCENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SEILKOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-575-0511
Mailing Address - Street 1:1806 N NIMITZ ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5534
Mailing Address - Country:US
Mailing Address - Phone:361-575-0511
Mailing Address - Fax:361-545-4608
Practice Address - Street 1:1806 N NIMITZ ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5534
Practice Address - Country:US
Practice Address - Phone:361-575-0511
Practice Address - Fax:361-545-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty