Provider Demographics
NPI:1215483144
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF MUNCIE, INDIANA, INC.
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF MUNCIE, INDIANA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OF FINANCE AND HR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-741-5545
Mailing Address - Street 1:500 S MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47305-2446
Mailing Address - Country:US
Mailing Address - Phone:765-281-9622
Mailing Address - Fax:765-741-5555
Practice Address - Street 1:500 S MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47305-2446
Practice Address - Country:US
Practice Address - Phone:765-281-9622
Practice Address - Fax:765-741-5555
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