# THE FAMILY Y, YOUNG MEN'S CHRISTIAN ASSOCIATION/YWCO OF THE CSRA, INC.

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

## Provider details

- **NPI number:** 1750880159
- **Authorized official:** DANNY MCCONNELL (CHEIF EXECUTIVE OFFICER)
- **Authorized official phone:** (706) 922-9601

## Contact information

- **Practice address:** 1058 CLAUSSEN RD, SUITE 100, AUGUSTA, GA 30907
- **Practice address phone:** (706) 922-9622
- **Practice address fax:** (706) 723-1773
- **Mailing address:** 1058 CLAUSSEN RD, SUITE 100, AUGUSTA, GA 30907
- **Mailing address phone:** (706) 922-9622
- **Mailing address fax:** (706) 723-1773

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 02/12/2018