Organization
PHILADELPHIA FREEDOM VALLEY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN ELLIOTT (CEO/PRESIDENT)
(215) 963-3704
Entity
Organization
Contact information
Practice address
891 N EAGLE RD, HAVERTOWN, PA 19083-2127
(610) 649-0700
Mailing address
400 FAYETTE ST, SUITE 250, CONSHOHOCKEN, PA 19428-1904
(267) 592-4383
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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