Organization Name: | ANCHOR CLANKER INC |
NPI Number: | 1609092188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER M JONES (EXECUTIVE DIRECTOR) |
Mailing Address: | 2051 W Wheeler Ave Ste #5 Aransas Pass |
State: | TX US |
Postal Code: | 783364762 |
Phone Number: | 3615238241 |
Fax Number: | 8882018760 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |