# GREATER PROVIDENCE YOUNG MEN'S CHRISTIAN ASSOCIATION

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

## Provider details

- **NPI number:** 1770030959
- **Authorized official:** LINDA S DYKEMAN (CEO)
- **Authorized official phone:** (401) 427-1808

## Contact information

- **Practice address:** 371 PINE ST, PROVIDENCE, RI 02903-4515
- **Practice address phone:** (401) 521-9622
- **Practice address fax:** (401) 421-6431
- **Mailing address:** 371 PINE ST, PROVIDENCE, RI 02903-4515
- **Mailing address phone:** (401) 521-9622
- **Mailing address fax:** (401) 421-6431

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 09/06/2016