Organization
MOVING STRIDES, LLC.
Active
Other names
Moving Strides, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BRADLEY (OWNER)
(458) 206-0337
Entity
Organization
Contact information
Practice address
60575 BILLADEAU RD, BEND, OR 97702-9338
(541) 904-0026
Mailing address
61843 DOBBIN RD, BEND, OR 97702-9536
(303) 956-1427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2021
Last updated
01/25/2024
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