# SEAN'S PLACE, INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407121106
- **Authorized official:** MRS. ANDREA LYNN WILLIAMS MA (EXECUTIVE PROGRAM DIRECTOR)
- **Authorized official phone:** (541) 995-5188

## Contact information

- **Practice address:** 930 HAMMER ST, HARRISBURG, OR 97446-9590
- **Practice address phone:** (541) 995-5188
- **Practice address fax:** (541) 995-5061
- **Mailing address:** 930 HAMMER ST, HARRISBURG, OR 97446-9590
- **Mailing address phone:** (541) 995-5188
- **Mailing address fax:** (541) 995-5061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012