Organization
STATELINE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG BRITT (CEO/EXECUTIVE DIRECTOR)
(608) 365-2261
Entity
Organization
Contact information
Practice address
1865 RIVERSIDE DR, BELOIT, WI 53511-3521
(608) 365-2261
(608) 365-7091
Mailing address
1865 RIVERSIDE DR, BELOIT, WI 53511-3521
(608) 365-2261
(608) 365-7091
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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