Project Patch
NPI #1760796130 in Vancouver, Washington
Provider Information
- NPI Number
- 1760796130
- Entity Type
- Organization
- Organization Name
- Project Patch
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jul 28, 2010
- Last Updated
- Jul 28, 2010
Practice Location
- Address
- 2404 E MILL PLAIN BLVD STE 4
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98661-4334
- Phone
- (360) 690-8495
Authorized Official
- Name
- MISS ALINA B POLOVINA
- Title
- BILLER
- Phone
- (503) 228-7106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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