# THE WATERBURY YOUNG MEN'S CHRISTIAN ASSOCIATION

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

## Provider details

- **NPI number:** 1831609577
- **Authorized official:** MR. JAMES O'ROURKE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (203) 754-9622

## Contact information

- **Practice address:** 136 W MAIN ST, WATERBURY, CT 06702-2005
- **Practice address phone:** (203) 754-9622
- **Practice address fax:** (203) 754-9095
- **Mailing address:** 136 W MAIN ST, WATERBURY, CT 06702-2005
- **Mailing address phone:** (203) 754-9622
- **Mailing address fax:** (203) 754-9095

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2017
- **Last updated:** 10/09/2017