Provider Demographics
NPI:1427438894
Name:YMCA OF THE GREATER TWIN CITIES
Entity type:Organization
Organization Name:YMCA OF THE GREATER TWIN CITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:TREPHAENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLTE DEHNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-676-3760
Mailing Address - Street 1:2125 E HENNEPIN AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1766
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2304 JACKSON ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-3618
Practice Address - Country:US
Practice Address - Phone:612-749-3780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management