Healthcare Provider Details

I. General information

NPI: 1356898365
Provider Name (Legal Business Name): YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER RICHMOND
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

2 W FRANKLIN ST
RICHMOND VA
23220-5006
US

IV. Provider business mailing address

2 W FRANKLIN ST
RICHMOND VA
23220-5006
US

V. Phone/Fax

Practice location:
  • Phone: 804-649-9622
  • Fax: 804-643-0689
Mailing address:
  • Phone: 804-649-9622
  • Fax: 804-643-0689

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. CAROL BENNETT
Title or Position: SENIOR VP & CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 804-649-9622