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Organization
OLALLA CENTER
Active
Organization
OLALLA CENTER
Active
Other names
Lincoln County Child Day Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAKOTA SIERRA MCKNIGHT-TODD (OFFICE MANAGER)
(541) 336-2254
Entity
Organization
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Mailing address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
(541) 336-1803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
106
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297880
OMAP
OR
Enumeration date
06/17/2006
Last updated
04/24/2020
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