Organization
THE CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL WELLARD LCSW (CEO)
(541) 726-1465
Entity
Organization
Contact information
Practice address
850 W ANTLER AVE, REDMOND, OR 97756-2129
(541) 316-2860
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0054
OR
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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