Organization
OLD COLONY YMCA WELLNESS SERVICES, INC.
Active
Parent organization
OLD COLONY YMCA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD COLONY YMCA
Authorized official
VINCENT MARTURANO MSW, ACSW (PRESIDENT AND CEO)
(508) 427-4358
Entity
Organization
Contact information
Practice address
320 MAIN ST, BROCKTON, MA 02301-5340
(508) 583-2155
Mailing address
320 MAIN ST, BROCKTON, MA 02301-5340
(508) 583-2155
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
10/16/2024
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