# NORTHWESTERN CONNECTICUT YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

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

## Provider details

- **NPI number:** 1841749975
- **Authorized official:** MR. GREG BRISCO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (860) 489-3133

## Contact information

- **Practice address:** 259 PROSPECT ST, TORRINGTON, CT 06790-5315
- **Practice address phone:** (860) 489-3133
- **Practice address fax:** (860) 482-4853
- **Mailing address:** 259 PROSPECT ST, TORRINGTON, CT 06790-5315
- **Mailing address phone:** (860) 489-3133
- **Mailing address fax:** (860) 482-4853

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 09/30/2016