Provider Demographics
NPI:1053785337
Name:YWCA OF KALAMAZOO
Entity type:Organization
Organization Name:YWCA OF KALAMAZOO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBWAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-345-5595
Mailing Address - Street 1:353 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3832
Mailing Address - Country:US
Mailing Address - Phone:269-345-5595
Mailing Address - Fax:
Practice Address - Street 1:353 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3832
Practice Address - Country:US
Practice Address - Phone:269-345-5595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable