Provider Demographics
NPI:1356898175
Name:THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF BLACK HAWK COUNTY,IOWA
Entity type:Organization
Organization Name:THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF BLACK HAWK COUNTY,IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARLEN
Authorized Official - Middle Name:PARRISH
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-233-3531
Mailing Address - Street 1:669 S HACKETT RD
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-5632
Mailing Address - Country:US
Mailing Address - Phone:319-233-9531
Mailing Address - Fax:319-232-4109
Practice Address - Street 1:669 S HACKETT RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5632
Practice Address - Country:US
Practice Address - Phone:319-233-9531
Practice Address - Fax:319-232-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty