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Organization

BEACON YOUTH & PREVENTION SERVICES

Active
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Organization

BEACON YOUTH & PREVENTION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY LYNN BUTLER (EXECUTIVE DIRECTOR)
(971) 600-3864
Entity
Organization

Contact information

Practice address
3000 MARKET ST NE, SUITE 528, SALEM, OR 97301-1882
(971) 600-3864
Mailing address
3000 MARKET ST NE, SUITE 528, SALEM, OR 97301-1882

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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