| NPI | 1659715498 |
|---|---|
| Doing Business As | STEPHENS FAMILY YMCA |
| Entity Type | Organization |
| Authorized Contact | KIM WEBB COO 217-239-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225A00000X Music Therapist | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |