Organization
ARC OF CLARK COUNTY
Active
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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