Provider Demographics
NPI:1548717531
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AUSTIN
Entity type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-322-9622
Mailing Address - Street 1:3208 RED RIVER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2659
Mailing Address - Country:US
Mailing Address - Phone:512-322-9622
Mailing Address - Fax:512-457-1972
Practice Address - Street 1:1100 W CESAR CHAVEZ ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4603
Practice Address - Country:US
Practice Address - Phone:512-542-9622
Practice Address - Fax:512-476-3548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty