# OSHKOSH COMMUNITY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

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

## Provider details

- **NPI number:** 1639626674
- **Authorized official:** MR. DAN BRAUN (HIPPA COMPLIANCE OFFICER)
- **Authorized official phone:** (920) 230-8915

## Contact information

- **Practice address:** 3303 W 20TH AVE, OSHKOSH, WI 54904-9249
- **Practice address phone:** (920) 230-8439
- **Practice address fax:** (920) 230-8444
- **Mailing address:** 3303 W 20TH AVE, OSHKOSH, WI 54904-9249
- **Mailing address phone:** (920) 230-8439
- **Mailing address fax:** (920) 230-8444

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 03/31/2017