Organization
TWO RIVERS YOUNG MEN'S CHRISTIAN ASSOCIATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WENNEKAMP (CEO)
(309) 797-3945
Entity
Organization
Contact information
Practice address
2040 53RD ST, MOLINE, IL 61265-3650
(309) 797-3945
(309) 277-1792
Mailing address
2040 53RD ST, MOLINE, IL 61265-3650
(309) 797-3945
(309) 277-1792
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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