Organization
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF RACINE, WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY COLLEN (CHIEF EXECUTIVE OFFICER)
(262) 634-1994
Entity
Organization
Contact information
Practice address
725 LAKE AVE, RACINE, WI 53403-1207
(262) 634-1994
(262) 634-0401
Mailing address
725 LAKE AVE, RACINE, WI 53403-1207
(262) 634-1994
(262) 634-0401
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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