Healthcare Provider Details

I. General information

NPI: 1871902460
Provider Name (Legal Business Name): YOUNG WOMEN'S CHRISTIAN ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 10/09/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3895 ADLER PL BUILDING A, SUITE 180
BETHLEHEM PA
18017-9092
US

IV. Provider business mailing address

3895 ADLER PL BUILDING A, SUITE 180
BETHLEHEM PA
18017-9092
US

V. Phone/Fax

Practice location:
  • Phone: 610-867-4669
  • Fax: 610-997-3786
Mailing address:
  • Phone: 610-867-4669
  • Fax: 610-997-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number1610
License Number StatePA

VIII. Authorized Official

Name: DELIA MARRERO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 610-867-4669