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Organization
ITENSIVE TREATMENT SERVICES
Active
Organization
ITENSIVE TREATMENT SERVICES
Active
Parent organization
LOOKING GLASS YOUTH AND FAMILY SERVICES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOOKING GLASS YOUTH AND FAMILY SERVICES INC.
Authorized official
ERIN RUSSELL (CLINICAL SUPERVISOR)
(541) 743-2611
Entity
Organization
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
Mailing address
550 RIVER RD, EUGENE, OR 97404-3212
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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