Organization
SOUTHSIDE VA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
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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