Organization
OLD COLONY YMCA WELLNESS SERVICES, INC.
Active
Parent organization
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Authorized official
CHARLES CLIFFORD (PRESIDENT AND CEO)
(508) 897-1220
Entity
Organization
Contact information
Practice address
445 CENTRAL ST, STOUGHTON, MA 02072-1900
(781) 341-2016
Mailing address
320 MAIN ST, BROCKTON, MA 02301-5340
(781) 341-2016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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