Provider Demographics
NPI:1588115208
Name:THE COMMUNITY YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREENFIELD, MASS
Entity type:Organization
Organization Name:THE COMMUNITY YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREENFIELD, MASS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-773-3646
Mailing Address - Street 1:451 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3304
Mailing Address - Country:US
Mailing Address - Phone:413-773-3646
Mailing Address - Fax:413-774-4312
Practice Address - Street 1:451 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3304
Practice Address - Country:US
Practice Address - Phone:413-773-3646
Practice Address - Fax:413-774-4312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty