Organization
SOUTHSIDE VA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SYSKO (CEO)
(434) 392-3456
Entity
Organization
Contact information
Practice address
580 COMMERCE RD, FARMVILLE, VA 23901-2999
(434) 392-3456
Mailing address
580 COMMERCE RD, FARMVILLE, VA 23901-2999
(434) 392-3456
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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