Organization
LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. DIAK (COO)
(440) 354-5656
Entity
Organization
Contact information
Practice address
933 MENTOR AVE, PAINESVILLE, OH 44077-2519
(440) 354-5656
Mailing address
933 MENTOR AVE, PAINESVILLE, OH 44077-2519
(440) 354-5656
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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