Provider Demographics
NPI: | 1689815383 |
---|---|
Name: | HOCKOMOCK YOUNG MEN'S CHRISTIAN ASSOCIATION, INC. |
Entity type: | Organization |
Organization Name: | HOCKOMOCK YOUNG MEN'S CHRISTIAN ASSOCIATION, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SR. VICE PRESIDENT/CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GREGORY |
Authorized Official - Middle Name: | JAMES |
Authorized Official - Last Name: | MEINERTZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 508-643-5233 |
Mailing Address - Street 1: | 45 FORGE HILL RD |
Mailing Address - Street 2: | |
Mailing Address - City: | FRANKLIN |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02038-3100 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 300 ELMWOOD ST |
Practice Address - Street 2: | |
Practice Address - City: | N ATTLEBORO |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02760-1304 |
Practice Address - Country: | US |
Practice Address - Phone: | 508-695-7001 |
Practice Address - Fax: | 508-643-5280 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-03-10 |
Last Update Date: | 2018-05-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 000002737 | 251V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251V00000X | Agencies | Voluntary or Charitable |