Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GROVER (EXECUTIVE DIRECTOR)
(503) 675-2232
Entity
Organization
Contact information
Practice address
2659 SW 4TH ST, SUITE 102, REDMOND, OR 97756-6406
(541) 516-6330
(541) 516-6331
Mailing address
2659 SW 4TH ST, SUITE 102, REDMOND, OR 97756-6406
(541) 516-6330
(541) 516-6331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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