Healthcare Provider Details

I. General information

NPI: 1568919538
Provider Name (Legal Business Name): YOUNG MEN'S CHRISTIAN ASSOCIATION METROPOLITAN CHATTANOOGA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 6TH ST
CHATTANOOGA TN
37402-1108
US

IV. Provider business mailing address

301 W 6TH ST
CHATTANOOGA TN
37402-1108
US

V. Phone/Fax

Practice location:
  • Phone: 423-265-8834
  • Fax: 423-265-4417
Mailing address:
  • Phone: 423-265-8834
  • Fax: 423-265-4417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JANET SUE DUNN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 423-265-8834