Organization
YOUNG MEN'S CHRISTIAN ASSOCIATION OF MEMPHIS & THE MID-SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JOHNSON (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(901) 766-7677
Entity
Organization
Contact information
Practice address
245 MADISON AVE, MEMPHIS, TN 38103-2731
(901) 527-9622
(901) 527-9638
Mailing address
6373 N QUAIL HOLLOW RD, SUITE 201, MEMPHIS, TN 38120-1405
(901) 766-7677
(901) 766-7687
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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