Provider Demographics
NPI:1396292280
Name:CENTRAL COAST YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:CENTRAL COAST YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIGHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-757-4633
Mailing Address - Street 1:500 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2515
Mailing Address - Country:US
Mailing Address - Phone:831-757-4633
Mailing Address - Fax:831-757-1241
Practice Address - Street 1:500 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2515
Practice Address - Country:US
Practice Address - Phone:831-757-4633
Practice Address - Fax:831-757-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty