Organization Name: | ARC OF CLARK COUNTY |
NPI Number: | 1194935213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSE L DUNN (EXECUTIVE DIRECTOR) |
Mailing Address: | 6511 Ne 18th St Vancouver |
State: | WA US |
Postal Code: | 986616869 |
Phone Number: | 3607594917 |
Fax Number: | 3607594921 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
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: |