Provider Demographics
NPI:1538619390
Name:THE MALDEN YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:THE MALDEN YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-324-7680
Mailing Address - Street 1:99 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5103
Mailing Address - Country:US
Mailing Address - Phone:781-324-6780
Mailing Address - Fax:781-324-7856
Practice Address - Street 1:99 DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148
Practice Address - Country:US
Practice Address - Phone:781-324-6780
Practice Address - Fax:781-324-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty