Organization
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER FORT WAYNE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN L PASTURA (CHIEF EXECUTIVE OFFICER)
(260) 918-2148
Entity
Organization
Contact information
Practice address
347 W BERRY ST, SUITE 500, FORT WAYNE, IN 46802-2299
(260) 422-6488
(260) 422-6489
Mailing address
347 W BERRY ST, SUITE 500, FORT WAYNE, IN 46802-2299
(260) 422-6488
(260) 422-6489
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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