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Organization
PRAIRIE BLOOM CENTER FOR GROWTH INC
Active
Organization
PRAIRIE BLOOM CENTER FOR GROWTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW MEXICOTTE (BOARD PRESIDENT)
(541) 556-9665
Entity
Organization
Contact information
Practice address
1029 RIVER RD, EUGENE, OR 97404-3242
(541) 556-9665
Mailing address
1029 RIVER RD, EUGENE, OR 97404-3242
(541) 556-9665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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