Provider Demographics
NPI:1528502077
Name:YMCA OF CENTRAL MARYLAND, INC.
Entity type:Organization
Organization Name:YMCA OF CENTRAL MARYLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-322-9622
Mailing Address - Street 1:303 W CHESAPEAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4406
Mailing Address - Country:US
Mailing Address - Phone:443-322-9622
Mailing Address - Fax:
Practice Address - Street 1:303 W CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-4406
Practice Address - Country:US
Practice Address - Phone:443-322-9622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty