# BENTON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENTON COUNTY
- **Other names:** Juvenile Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730598038
- **Legal business name:** BENTON COUNTY
- **Authorized official:** LACEY MOLLEL (HEALTH CENTER DIRECTOR)
- **Authorized official phone:** (541) 766-6835

## Contact information

- **Practice address:** 4077 SW RESEARCH WAY, CORVALLIS, OR 97333-1065
- **Practice address phone:** (541) 766-6810
- **Mailing address:** PO BOX 579, CORVALLIS, OR 97339-0579
- **Mailing address phone:** (541) 766-6835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2014
- **Last updated:** 05/01/2025