Provider Demographics
NPI:1396292553
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF ROSS COUNTY
Entity type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF ROSS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:CLEVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:740-772-4340
Mailing Address - Street 1:100 MILL ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1662
Mailing Address - Country:US
Mailing Address - Phone:740-772-4340
Mailing Address - Fax:740-774-1734
Practice Address - Street 1:100 MILL ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1662
Practice Address - Country:US
Practice Address - Phone:740-772-4340
Practice Address - Fax:740-774-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty