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Organization
SECOND NATURE CASCADES
Active
Organization
SECOND NATURE CASCADES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE EVANS (BUSINESS OFFICE)
(801) 766-6604
Entity
Organization
Contact information
Practice address
20332 EMPIRE AVENUE, SUITE F7, BEND, OR 97701-5712
(541) 382-1620
(541) 382-1817
Mailing address
20332 EMPIRE AVENUE, SUITE F7, BEND, OR 97701-5712
(541) 382-1620
(541) 382-1817
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0241
OR
Other
Enumeration date
05/09/2007
Last updated
05/29/2012
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