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Organization
SNOW PEAK YOUTH CAMP, INC.
Active
Organization
SNOW PEAK YOUTH CAMP, INC.
Active
Other names
Santiam Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
JENIVEVE ROLLINS LCSW (CLINICAL DIRECTOR, BOARD CHAIR)
(503) 394-4294
Entity
Organization
Contact information
Practice address
44644 CAMP MORRISON DR, BOX 482, SCIO, OR 97374-9336
(503) 394-4294
(503) 394-7096
Mailing address
PO BOX 482, SCIO, OR 97374-0482
(503) 394-4294
(503) 394-7096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0231
OR
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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