Organization
YOUNG MEN'S CHRISTIAN ASSOCIATION OF MANITOWOC, WISCONSIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARTIN SMITH (CHIEF EXECUTIVE DIRECTOR)
(920) 482-1512
Entity
Organization
Contact information
Practice address
205 MARITIME DR, MANITOWOC, WI 54220-6826
(920) 682-0341
(920) 682-2620
Mailing address
PO BOX 471, MANITOWOC, WI 54221-0471
(920) 682-0341
(920) 682-2620
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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