Stateline Family Young Men's Christian Association, INC

NPI #1578012936 in Beloit, Wisconsin

Provider Information

NPI Number: 1578012936
Entity Type: Organization
Organization Name: Stateline Family Young Men's Christian Association, INC
Primary Specialty: Health Educator
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 1865 RIVERSIDE DR
City: Beloit
State: Wisconsin
ZIP Code: 53511-3521
Phone: (608) 365-2261

Authorized Official

Name: MR. DOUG BRITT
Title: CEO/EXECUTIVE DIRECTOR
Phone: (608) 365-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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