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Organization
A BEHAVIORAL HEALTH COOPERATIVE, L.L.C.
Active
Organization
A BEHAVIORAL HEALTH COOPERATIVE, L.L.C.
Active
Other names
The ABC Group
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN RAFAEL MESA (FOUNDER & OWNER)
(917) 862-2250
Entity
Organization
Contact information
Practice address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
(503) 780-0292
(503) 296-5396
Mailing address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
(503) 388-0230
(503) 296-5396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2017
Last updated
03/21/2023
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