Organization Name: | OPTIONS 360 |
NPI Number: | 1013219468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE WOOTEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 5500 Ne 109th Ct Vancouver |
State: | WA US |
Postal Code: | 986626176 |
Phone Number: | 3605670285 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |