Provider Demographics
NPI:1043420847
Name:THE ARC OF NORTHWEST WAYNE COUNTY
Entity Type:Organization
Organization Name:THE ARC OF NORTHWEST WAYNE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LERCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-532-7915
Mailing Address - Street 1:26049 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3235
Mailing Address - Country:US
Mailing Address - Phone:313-532-7915
Mailing Address - Fax:313-532-7488
Practice Address - Street 1:26049 5 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3235
Practice Address - Country:US
Practice Address - Phone:313-532-7915
Practice Address - Fax:313-532-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable