# YOUNG MEN'S CHRISTIAN ASSOCIATION OF MANITOWOC, WISCONSIN, INC.

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

## Provider details

- **NPI number:** 1285181214
- **Authorized official:** STEPHEN MARTIN SMITH (CHIEF EXECUTIVE DIRECTOR)
- **Authorized official phone:** (920) 482-1512

## Contact information

- **Practice address:** 205 MARITIME DR, MANITOWOC, WI 54220-6826
- **Practice address phone:** (920) 682-0341
- **Practice address fax:** (920) 682-2620
- **Mailing address:** PO BOX 471, MANITOWOC, WI 54221-0471
- **Mailing address phone:** (920) 682-0341
- **Mailing address fax:** (920) 682-2620

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016