Provider Demographics
NPI:1124285523
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER PITTSBURGH
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-227-6429
Mailing Address - Street 1:420 FORT DUQUESNE BLVD.
Mailing Address - Street 2:SUITE 625
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222
Mailing Address - Country:US
Mailing Address - Phone:412-227-3800
Mailing Address - Fax:
Practice Address - Street 1:420 FORT DUQUESNE BLVD.
Practice Address - Street 2:SUITE 625
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:412-227-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YMCA OF GREATER PITTSBURGH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X
PA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health