Organization
CHAMPAIGN COUNTY YMCA
Active
Other names
Stephens Family YMCA
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WEBB (COO)
(217) 239-2803
Entity
Organization
Contact information
Practice address
2501 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3733
(217) 239-2803
Mailing address
2501 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3733
(217) 239-2803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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