# YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHERN MAINE

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

## Provider details

- **NPI number:** 1366953424
- **Authorized official:** HELEN BRENA (CEO)
- **Authorized official phone:** (207) 874-1111

## Contact information

- **Practice address:** 70 FOREST AVE, PORTLAND, ME 04101-2813
- **Practice address phone:** (207) 874-1111
- **Practice address fax:** (207) 842-2966
- **Mailing address:** 70 FOREST AVE, PORTLAND, ME 04101-2813
- **Mailing address phone:** (207) 874-1111
- **Mailing address fax:** (207) 842-2966

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 10/17/2017