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Organization
NORTHWEST YOUTH DISCOVERY
Active
Organization
NORTHWEST YOUTH DISCOVERY
Active
Parent organization
NORTHWEST YOUTH DISCOVERY
Other names
Northwest Discovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST YOUTH DISCOVERY
Authorized official
MR. RICHARD CHARLES STREETER M.S., M.ED. (EXECUTIVE DIRECTOR)
(541) 647-9609
Entity
Organization
Contact information
Practice address
361 NE FRANKLIN AVE BLDG E, BEND, OR 97701-4917
(541) 241-3109
(541) 241-3109
Mailing address
70 SW CENTURY DR STE 100-118, BEND, OR 97702-3557
(541) 647-9609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3674
OR
Other
Enumeration date
02/22/2017
Last updated
03/17/2018
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