Organization
ARC OF CLARK COUNTY
Active
Other names
PRIDE For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACYLYN BROERSMA (MEDICAL BILLING SPECIALIST)
(360) 759-4917
Entity
Organization
Contact information
Practice address
6511 NE 18TH ST, VANCOUVER, WA 98661-6869
(360) 759-4917
(360) 759-4921
Mailing address
PO BOX 2277, VANCOUVER, WA 98668-2277
(360) 759-4917
(360) 759-4921
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PT60116751
WA
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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