Provider Demographics
NPI:1891244257
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE
Entity type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LOYD
Authorized Official - Last Name:COON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-532-9622
Mailing Address - Street 1:810 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5339
Mailing Address - Country:US
Mailing Address - Phone:915-532-9622
Mailing Address - Fax:915-544-8729
Practice Address - Street 1:5509 WILL RUTH AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-5433
Practice Address - Country:US
Practice Address - Phone:915-755-9622
Practice Address - Fax:915-751-0533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty