# YOUNG MEN'S CHRISTIAN ASSOCIATION OF CUMBERLAND, MARYLAND, INCORPORATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063864254
- **Authorized official:** DON ENTERLINE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (301) 777-9622

## Contact information

- **Practice address:** 601 KELLY ROAD, CUMBERLAND, MD 21502
- **Practice address phone:** (301) 777-9622
- **Practice address fax:** (301) 777-3467
- **Mailing address:** 601 KELLY ROAD, CUMBERLAND, MD 21502
- **Mailing address phone:** (301) 777-9622
- **Mailing address fax:** (301) 777-3467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016