Provider Demographics
NPI:1154507465
Name:THE ARC OF WAKE COUNTY, INC.
Entity Type:Organization
Organization Name:THE ARC OF WAKE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:STROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-832-2660
Mailing Address - Street 1:1300 SAINT MARYS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1276
Mailing Address - Country:US
Mailing Address - Phone:919-832-2660
Mailing Address - Fax:919-832-5446
Practice Address - Street 1:1300 SAINT MARYS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1276
Practice Address - Country:US
Practice Address - Phone:919-832-2660
Practice Address - Fax:919-832-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSL000201251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable