Healthcare Provider Details
I. General information
NPI: 1922555101
Provider Name (Legal Business Name): CENTRAL BUCKS FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2016
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 LOWER STATE RD
DOYLESTOWN PA
18901-2634
US
IV. Provider business mailing address
2500 LOWER STATE RD
DOYLESTOWN PA
18901-2634
US
V. Phone/Fax
- Phone: 215-348-8131
- Fax: 215-230-5490
- Phone: 215-348-8131
- Fax: 215-230-5490
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
VIRGINIA
DOYLE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 215-348-8131