# CENTRAL CONNECTICUT COAST YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

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

## Provider details

- **NPI number:** 1265977524
- **Authorized official:** MR. DAVID STEVENSON PHD (CEO)
- **Authorized official phone:** (203) 777-9622

## Contact information

- **Practice address:** 1240 CHAPEL ST, NEW HAVEN, CT 06511-4602
- **Practice address phone:** (203) 777-9622
- **Practice address fax:** (203) 777-5871
- **Mailing address:** 1240 CHAPEL ST, NEW HAVEN, CT 06511-4602
- **Mailing address phone:** (203) 777-9622
- **Mailing address fax:** (203) 777-5871

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2016
- **Last updated:** 12/22/2016