Provider Demographics
NPI:1669876942
Name:DARRELL ARLINE FOUNDATION
Entity type:Organization
Organization Name:DARRELL ARLINE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-456-0686
Mailing Address - Street 1:723 MAIN ST STE 814
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-3318
Mailing Address - Country:US
Mailing Address - Phone:713-456-0686
Mailing Address - Fax:
Practice Address - Street 1:723 MAIN ST STE 814
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3318
Practice Address - Country:US
Practice Address - Phone:713-456-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management