Young Men's Christian Association of Fond Du Lac, Wisconsin, Inc.

NPI #1588111512 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1588111512
Entity Type: Organization
Organization Name: Young Men's Christian Association of Fond Du Lac, Wisconsin, Inc.
Primary Specialty: Health Educator
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 90 W 2ND ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-4141
Phone: (920) 921-3330

Authorized Official

Name: GREG GILES
Title: CEO
Phone: (920) 921-3330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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