Healthcare Provider Details

I. General information

NPI: 1205381332
Provider Name (Legal Business Name): YOUNG MEN'S CHRISTIAN ASSOCIATION OF DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 10TH ST SUITE 1100
WILMINGTON DE
19801-6603
US

IV. Provider business mailing address

100 W 10TH ST SUITE 1100
WILMINGTON DE
19801-6603
US

V. Phone/Fax

Practice location:
  • Phone: 302-571-6998
  • Fax: 302-250-4895
Mailing address:
  • Phone: 302-571-6908
  • Fax: 302-656-5035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: PETER DEGREGORIO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 413-695-3540