# LINCOLN COUNTY CHILDREN'S ADVOCACY CENTER

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

## Provider details

- **NPI number:** 1578722369
- **Authorized official:** MS. THERESA WISNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 574-0841

## Contact information

- **Practice address:** 122 NE 47TH ST, NEWPORT, OR 97365-1429
- **Practice address phone:** (541) 574-0841
- **Practice address fax:** (541) 574-0821
- **Mailing address:** PO BOX 707, NEWPORT, OR 97365-0050
- **Mailing address phone:** (541) 574-0841
- **Mailing address fax:** (541) 574-0821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 1174640-8 | OR | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008