NPI 1518280676

Clc, INC

Organisation Substance Abuse Rehabilitation Facility Vancouver, WA

Practice location

Address: 1714 NE 72nd Cir, Vancouver, WA 98665-0586
Phone: (503) 515-5247
Fax: (360) 718-7949
Mailing address: 8002 NE Highway 99 Pmb 617, Vancouver, WA 98665-8876

Authorised official

Name: Lynn C Burgess
Title: Executive Director
Phone: (503) 515-5247

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Washington →

Registry record

NPI: 1518280676
Entity type: Organization
NPI issued: 3 Mar 2010
Record last updated: 3 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.