Provider Demographics
NPI:1861942633
Name:THE GREAT MIAMI VALLEY YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:THE GREAT MIAMI VALLEY YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOCHENMUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-887-0001
Mailing Address - Street 1:105 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2701
Mailing Address - Country:US
Mailing Address - Phone:513-887-0001
Mailing Address - Fax:513-887-0960
Practice Address - Street 1:105 N 2ND ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2701
Practice Address - Country:US
Practice Address - Phone:513-887-0001
Practice Address - Fax:513-887-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty