Provider Demographics
NPI:1619536372
Name:CHELAN-DOUGLAS COMMUNITY ACTION COUNCIL
Entity Type:Organization
Organization Name:CHELAN-DOUGLAS COMMUNITY ACTION COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-662-6156
Mailing Address - Street 1:620 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3435
Mailing Address - Country:US
Mailing Address - Phone:509-662-6156
Mailing Address - Fax:509-662-1737
Practice Address - Street 1:620 LEWIS ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3435
Practice Address - Country:US
Practice Address - Phone:509-662-6156
Practice Address - Fax:509-662-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management